Healthcare Provider Details

I. General information

NPI: 1750392312
Provider Name (Legal Business Name): PCA-CORRECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 EDWARDS FARMS RD STE 102
HILLIARD OH
43026
US

IV. Provider business mailing address

303 N HURSTBOURNE PKWY STE 200
LOUISVILLE KY
40222-5158
US

V. Phone/Fax

Practice location:
  • Phone: 614-297-8244
  • Fax: 877-883-5975
Mailing address:
  • Phone: 614-297-8244
  • Fax: 877-883-5975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number021949900
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number5301009951
License Number StateMI

VIII. Authorized Official

Name: CRISTINA PIETROWSKI
Title or Position: EVP, CHIEF LEGAL OFFICER & SECRETAR
Credential:
Phone: 502-412-5847