Cvs/Pharmacy #10994

LBN: Pro Care Pharmacy, Llc.
Cvs/Pharmacy #10994 is an health care organization with primary practice located at 60 Market Center Dr Ste 103 , Collierville TN 38017-7077. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Pro Care Pharmacy, Llc. can be contacted via phone (901) 316-5752, or through Markos, Maria via phone (401) 717-3303.

Contact Information

Primary practice address
60 Market Center Dr Ste 103 Collierville TN 38017-7077
Phone: (901) 316-5752
Fax: (901) 316-5760
Website:
Map and Directions
Authorized official contact:
Name: Markos, Maria
Phone: (401) 717-3303

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Tennessee
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5236 Tennessee
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1245665850
LBN Legal business name Pro Care Pharmacy, Llc.
DBA Doing business as Cvs/Pharmacy #10994
Authorized official Markos, Maria
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2013
Last updated Jul 18th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245665850 NPPES
Mississippi MEDICAID 06257315
Mississippi Other 4446236

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