Cvs/Pharmacy #48611
LBN: Procare Pharmacy, L.L.C.
Cvs/Pharmacy #48611 is an health care organization with primary practice located at 141 Preble St , Portland ME 04101-2440. 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.
Procare Pharmacy, L.L.C. can be contacted via phone (207) 899-0939, or through Markos, Maria via phone (401) 770-2751.
Contact Information
Primary practice address
141 Preble St
Portland ME 04101-2440
Phone: (207) 899-0939
Fax: (207) 899-0969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001530 | Maine |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1417100447 |
|---|---|
| LBN Legal business name | Procare Pharmacy, L.L.C. |
| DBA Doing business as | Cvs/Pharmacy #48611 |
| Authorized official | Markos, Maria |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2008 |
| Last updated | Aug 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417100447 | NPPES |
| Maine | MEDICAID | 1417100447 | |
| Maine | Other | 2153870 | |
| Maine | Other | 1248900057 |
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