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General NPI Number Information
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NPI Number | 1083849640
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Entity Type | Organization
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Legal Business Name | PCA-CORRECTIONS LLC
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 4665 44TH ST SE STE A1106
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City | GRAND RAPIDS
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State | MI
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Zip | 49512-4052
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Country | US
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Telephone | 616-977-9700
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Fax | 616-855-0937
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Provider Business Mailing Address
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Address Line | 303 N HURSTBOURNE PKWY STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40222-5158
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Country | US
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Telephone | 800-445-8917
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Fax | 800-445-8918
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Authorized Official
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Title or Position | EVP, CHIEF LEGAL OFFICER & SECRETAR
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Name | CRISTINA PIETROWSKI
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Credential |
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Telephone | 502-412-5847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 5301009951
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License Number State | MI
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