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General NPI Number Information
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NPI Number | 1942156237
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Entity Type | Organization
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Legal Business Name | PHARMERICA LONG-TERM CARE LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 1190 COUNTRY CLUB RD
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City | SANTA TERESA
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State | NM
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Zip | 88008-9695
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Country | US
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Telephone | 575-888-3466
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Fax | 575-888-3452
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Provider Business Mailing Address
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Address Line | 10002 PRINCESS PALM AVE STE 106
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City | TAMPA
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State | FL
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Zip | 33619-1357
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Country | US
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Telephone | 813-316-6656
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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 | ALLISON 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 | 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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