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General NPI Number Information
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NPI Number | 1750233151
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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 | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3410 E 12 MILE RD STE A
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City | WARREN
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State | MI
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Zip | 48092-2593
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Country | US
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Telephone | 586-231-2441
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Fax | 586-231-2442
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY STE 400
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City | LOUISVILLE
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State | KY
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Zip | 40222-7102
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Country | US
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Telephone | 502-627-7917
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Fax |
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Authorized Official
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Title or Position | PHARMACY LICENSING MANAGER
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Name | DASIA PENDLETON
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Credential |
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Telephone | 502-630-7494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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