Cvs Pharmacy #02293
LBN: Procare Pharmacy Llc
Cvs Pharmacy #02293 is an health care organization with primary practice located at 2 Dudley St Ste 170 , Providence RI 02905-3246. 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 (800) 510-0765, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
2 Dudley St Ste 170
Providence RI 02905-3246
Phone: (800) 510-0765
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Rhode Island | |
Suppliers / Pharmacy | 333600000X | 00245 | Rhode Island |
Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
NPI number | 1720197205 |
---|---|
LBN Legal business name | Procare Pharmacy Llc |
DBA Doing business as | Cvs Pharmacy #02293 |
Authorized official | Colbert, Susan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | Jan 31st, 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 | 1720197205 | NPPES |
Connecticut | MEDICAID | 008004436 | |
Connecticut | Other | 1248900 | |
Connecticut | MEDICAID | PP70207 | |
Connecticut | Other | 4105741 |
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