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General NPI Number Information
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NPI Number | 1952596363
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Entity Type | Organization
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Legal Business Name | PHARMACY CORPORATION OF AMERICA
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 945 EDWARDS FERRY RD NE
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City | LEESBURG
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State | VA
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Zip | 20176-3301
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Country | US
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Telephone | 571-258-0426
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Fax | 855-766-6501
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Provider Business Mailing Address
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Address Line | 3802 CORPOREX PARK DR STE 150
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City | TAMPA
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State | FL
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Zip | 33619-1135
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Country | US
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Telephone | 813-318-6271
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Fax | 813-318-6346
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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 | 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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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 | 0201004177
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License Number State | VA
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