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General NPI Number Information
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NPI Number | 1760415335
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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 | 02/13/2024
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Provider Practice Location Address
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Address Line | 5574 EVERGLADES ST UNIT A
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City | VENTURA
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State | CA
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Zip | 93003-6542
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Country | US
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Telephone | 805-642-0555
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Fax | 805-642-1027
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Provider Business Mailing Address
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Address Line | 3802 CORPOREX PARK DR STE 200
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City | TAMPA
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State | FL
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Zip | 33619-1125
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Country | US
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Telephone | 813-318-6039
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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 | 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 | LSC99088
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY48708
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License Number State | CA
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