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General NPI Number Information
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NPI Number | 1265919351
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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 | 07/23/2018
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 915 1ST AVE S STE 110
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City | GREAT FALLS
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State | MT
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Zip | 59401-3705
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Country | US
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Telephone | 406-403-7224
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Fax | 406-604-0399
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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 | 813-318-6336
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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 BROWN
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Credential | ATTORNEY AT LAW
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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 | 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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