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NPI Code Detail

MEDICARE: PHARMERICA DRUG SYSTEMS INC

MEDICARE: PHARMERICA DRUG SYSTEMS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care PharmacyPP413860LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23952947OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1801829486
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMERICA DRUG SYSTEMS INC
Provider Business Mailing Address
First Line : PO BOX 409244
Second Line :
City : ATLANTA
State : GA
Zip : 30384-9244
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 E KING ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-3272
Country : US
Telephone Number : 717-299-7875
Fax Number : 717-209-3030
Authorized Official
Title or Position : CONTRACT ADMINISTRATOR
Name : PEBBLES PANGRAZIO
Credential :
Telephone Number : 877-975-2273
Provider Enumeration Date : 07/08/2006
Last Update Date : 08/22/2020

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Directions to “PHARMERICA DRUG SYSTEMS INC ” Practice Location

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