Healthcare Provider Details

I. General information

NPI: 1063135572
Provider Name (Legal Business Name): PHARMACY CORPORATION OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
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:
Mailing address:
  • Phone: 813-318-6656
  • Fax: 800-825-6408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

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