| NPI | 1831122407 |
|---|---|
| Doing Business As | PHARMERICA |
| Doing Business As | WAILUKU PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN A LARIVIERE Chief Compliance Officer 502-627-7404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: HI PHY580) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-11-18 |