Cvs Pharmacy #02909

LBN: Procare Pharmacy, Llc.
Cvs Pharmacy #02909 is an health care organization with primary practice located at 1521 4Th Ave S , Birmingham AL 35233-1612. 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, Llc. can be contacted via phone (800) 598-8053, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
1521 4Th Ave S Birmingham AL 35233-1612
Phone: (800) 598-8053
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X 111798 Alabama

Profile Details

NPI number 1578635819
LBN Legal business name Procare Pharmacy, Llc.
DBA Doing business as Cvs Pharmacy #02909
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Jan 24th, 2024 - about 11 months 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 1578635819 NPPES
Alabama MEDICAID 100003194

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