Cvs/Pharmacy #02516

LBN: Procare Pharmacy Llc
Cvs/Pharmacy #02516 is an health care organization with primary practice located at 35 Kneeland St , Boston MA 02111-1523. 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) 717-1006, or through Colbert, Susan F. via phone (401) 770-2751.

Contact Information

Primary practice address
35 Kneeland St Boston MA 02111-1523
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan F.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2870 Massachusetts
Suppliers / Pharmacy 333600000X 2870 Massachusetts
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X 2870 Massachusetts

Profile Details

NPI number 1760591234
LBN Legal business name Procare Pharmacy Llc
DBA Doing business as Cvs/Pharmacy #02516
Authorized official Colbert, Susan F.
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760591234 NPPES
Connecticut Other 008017022 CT DME
Connecticut MEDICAID 008017016 CT DME
Connecticut Other 2237611 CT DME
Connecticut MEDICAID 0447536 CT DME

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