Cvs Pharmacy# 11235
LBN: Procare Pharmacy Llc
Cvs Pharmacy# 11235 is an health care organization with primary practice located at 9555 Kings Charter Dr Suite D, Ashland VA 23005. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Procare Pharmacy Llc can be contacted via phone (800) 753-0596, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
9555 Kings Charter Dr Suite D
Ashland VA 23005
Phone: (800) 753-0596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1093116154 |
|---|---|
| LBN Legal business name | Procare Pharmacy Llc |
| DBA Doing business as | Cvs Pharmacy# 11235 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 9th, 2014 |
| Last updated | Feb 1st, 2021 - about 4 years ago |
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 | 1093116154 | NPPES |
| Virginia | Other | 2140705 00 | MD MEDICAID RX |
| Virginia | Other | 4845826 | MD MEDICAID RX |
| Virginia | Other | 2140691 00 | MD MEDICAID RX |
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