Organization Name: | PHARMERICA MIDWEST LLC |
NPI Number: | 1184634347 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS A. CANERIS (VICE PRESIDENT) |
Mailing Address: | 4105 Westcor Court Suite 1 Coralville |
State: | IA US |
Postal Code: | 52241 |
Phone Number: | 3195457090 |
Fax Number: | 3195457095 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |