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:
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 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 3 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 1720197205 NPPES
Connecticut MEDICAID 008004436
Connecticut Other 1248900
Connecticut MEDICAID PP70207
Connecticut Other 4105741

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