Cvs Pharmacy #02751
LBN: Procare Pharmacy, Llc
Cvs Pharmacy #02751 is an health care organization with primary practice located at 426 S Henderson St , Fort Worth TX 76104-1017. 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) 566-1548, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
426 S Henderson St
Fort Worth TX 76104-1017
Phone: (866) 566-1548
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 19890 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1366551848 |
|---|---|
| LBN Legal business name | Procare Pharmacy, Llc |
| DBA Doing business as | Cvs Pharmacy #02751 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jan 11th, 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 | 1366551848 | NPPES |
| Arkansas | MEDICAID | 167798407 | |
| Arkansas | MEDICAID | 144916 | |
| Arkansas | Other | 4511057 |
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