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General NPI Number Information
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NPI Number | 1396778965
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Entity Type | Organization
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Legal Business Name | PHARMERICA DRUG SYSTEMS LLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 873 RICARDO CT
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7174
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Country | US
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Telephone | 805-543-5981
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Fax | 805-546-1979
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-7101
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Country | US
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Telephone | 502-627-7000
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Fax | 502-627-7401
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STEVEN S. REED
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Credential |
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Telephone | 502-394-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY48712
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License Number State | CA
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