Provider Demographics
NPI:1629001201
Name:FAMILY CENTER PHARMACY LLC
Entity Type:Organization
Organization Name:FAMILY CENTER PHARMACY LLC
Other - Org Name:PHARMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-630-7429
Mailing Address - Street 1:3802 CORPOREX PARK DR
Mailing Address - Street 2:STE 200
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-1125
Mailing Address - Country:US
Mailing Address - Phone:813-318-6039
Mailing Address - Fax:
Practice Address - Street 1:4000 HEMPFIELD PLAZA BLVD
Practice Address - Street 2:SUITE 966
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1483
Practice Address - Country:US
Practice Address - Phone:724-836-5749
Practice Address - Fax:724-836-8414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMERICA CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-08
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X
PAPP414220L3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007511810030Medicaid
3958836OtherOTHER ID NUMBER-COMMERCIAL NUMBER
OH2622102Medicaid
3958836OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA1007511810030Medicaid