Organization · Type 2 NPI

Pharmacy Corporation of America

Long Term Care Pharmacy · Fridley, MN

NPI number 1285667865 Active

Practice location

5255 E River Rd, Suite 204
Fridley, MN 55421-1026

Call (763) 571-2220 Map

Fax (763) 571-3311

Mailing address

3802 Corporex Park Dr Ste 150
Tampa, FL 33619-1135

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	2615480 (MN)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

2 other providers at this address

Other long term care pharmacy providers in Fridley

Total Care Pharmacy LLCLong Term Care Pharmacy Fridley, MN NPI 1306219464

See all in Fridley →

NPI record

NPI: 1285667865
Entity type: Organization (Type 2)
Issued: Jul 8, 2006
Last updated: Feb 13, 2024
Status: Active
Subpart: Yes of Pharmerica Corporation

Other names

<unavail>
Pharmerica · doing business as
Pharmerica · doing business as

Authorized official

Allison L. Brown
Secretary
(502) 630-7429

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285667865

Pharmacy Corporation of America's National Provider Identifier is 1285667865, issued on Jul 8, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Fridley, MN. The record was last updated on Feb 13, 2024.