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General NPI Number Information
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NPI Number | 1912017906
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Entity Type | Organization
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Legal Business Name | PHARMERICA EAST LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 97 MCALISTER FARM RD
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City | PORTLAND
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State | ME
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Zip | 04103
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Country | US
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Telephone | 207-775-0631
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Fax | 207-773-4274
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Provider Business Mailing Address
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Address Line | 3802 CORPOREX PARK DR
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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 | 800-825-6408
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. 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 | PH50001246
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License Number State | ME
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