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NPI 1013940683

NPI 1013940683 : PHARMACY CORPORATION OF AMERICA : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1013940683
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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     |    07/08/2006
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    Last Update Date     |    02/13/2024
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Provider Practice Location Address
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    Address Line         |    1950 COMMONWEALTH LN 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32303-3196
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    Country              |    US
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    Telephone            |    850-504-6262
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    Fax                  |    850-504-6234
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Provider Business Mailing Address
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    Address Line         |    3802 CORPOREX PARK DR STE 150 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33619-1135
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    Country              |    US
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    Telephone            |    813-318-6039
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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        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    PH15693
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    License Number State |    FL
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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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Taxonomy #3
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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