Cvs Pharmacy #00102

LBN: Procare Pharmacy Llc
Cvs Pharmacy #00102 is an health care organization with primary practice located at 2101 N Ursula St Unit 35 , Aurora CO 80045-7426. 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 / Pharmacy is the primary health care specialty. Procare Pharmacy Llc can be contacted via phone (866) 813-4547, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
2101 N Ursula St Unit 35 Aurora CO 80045-7426
Phone: (866) 813-4547
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PDO617 Colorado
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1205930104
LBN Legal business name Procare Pharmacy Llc
DBA Doing business as Cvs Pharmacy #00102
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Dec 20th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205930104 NPPES
Utah MEDICAID 1205930104
Utah MEDICAID 32920768 (DME)
Utah MEDICAID 200125790B
Utah MEDICAID 09981756 (RX)
Utah Other 33383341
Utah MEDICAID 10025711800
Utah Other 135307100
Utah Other 0619479
Utah Other 1205930104

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