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General NPI Number Information
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NPI Number | 1013673375
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Entity Type | Organization
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Legal Business Name | PHARMACY CORPORATION OF AMERICA
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 1340 AIRPORT COMMERCE DR STE 350
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City | AUSTIN
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State | TX
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Zip | 78741-6820
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Country | US
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Telephone | 800-880-6996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 85096
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City | CHICAGO
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State | IL
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Zip | 60689-5096
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | ALLISON L. BROWN
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Credential |
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Telephone | 502-630-7429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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