Healthcare Provider Details

I. General information

NPI: 1659513638
Provider Name (Legal Business Name): PHARMACY CORPORATION OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5628 TROUBLE CREEK RD
NEW PORT RICHEY FL
34652-5158
US

IV. Provider business mailing address

3802 CORPOREX PARK DR STE 150
TAMPA FL
33619-1135
US

V. Phone/Fax

Practice location:
  • Phone: 727-846-7600
  • Fax: 727-846-8866
Mailing address:
  • Phone: 813-318-6656
  • Fax: 800-825-6408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH23998
License Number StateFL

VIII. Authorized Official

Name: STEVEN S REED
Title or Position: VP/SECRETARY
Credential:
Phone: 502-394-2100