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Contact Information

PHARMERICA MOUNTAIN LLC
3700 E COLUMBIA ST
SUITE 100
TUCSON, AZ85714
 Phone: 800-252-6721
 Fax: 800-282-6729
 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 MOUNTAIN LLC

NPI Number 1467464925
LBN Legal business name PHARMERICA MOUNTAIN LLC
Authorized official ALLISON BROWN - (SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/13/2006
Last updated 02/14/2024 - About 2 years ago
Identifiers
AZ License # 4203
AZ Medicaid 920208
IN Medicaid 300012682
AZ Other Y007461 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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