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Contact Information

PHARMERICA LONG-TERM CARE LLC
4171 N MESA ST
SUITE 210A
EL PASO, TX79902
 Phone: 915-545-1955
 Fax: 915-545-2168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PHARMERICA LONG-TERM CARE LLC

NPI # 1073546651
LBN Legal business name PHARMERICA LONG-TERM CARE LLC
Authorized official ALLISON BROWN - (SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/08/2006
Last updated 02/13/2024 - About 2 years ago
Identifiers
TX License # 19294
NM Medicaid 66779871
TX Medicaid 350131
NM Other PH00004000 BOARD OF PHARMACY
NM Other CS00222097 CONTROLLED SUBSTANCE
TX Other 19294 BOARD OF PHARMACY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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