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General NPI Number Information
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NPI Number | 1982901419
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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 | 02/18/2011
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 105 ARC DR
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City | SAINT LOUIS
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State | MO
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Zip | 63146-3502
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Country | US
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Telephone | 314-473-1340
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Fax | 314-473-1342
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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 | 813-318-6039
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 054.019336
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License Number State | IL
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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 | 2011003322
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License Number State | MO
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