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General NPI Number Information
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NPI Number | 1124665336
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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 | 12/06/2019
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 11739 W BRADLEY RD
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City | MILWAUKEE
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State | WI
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Zip | 53224-2531
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Country | US
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Telephone | 888-210-5906
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Fax | 877-583-0109
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Provider Business Mailing Address
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Address Line | 11739 W BRADLEY RD
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City | MILWAUKEE
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State | WI
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Zip | 53224
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Country | US
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Telephone | 888-210-5906
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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 | 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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