# PROCARE PHARMACY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS PHARMACY \#02733
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225147796
- **Authorized official:** SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 1601 17TH ST NW, WASHINGTON, DC 20009-2403
- **Practice address phone:** (866) 813-3603
- **Mailing address:** 1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500
- **Mailing address fax:** (401) 770-7108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | RX-00-00294 | DC | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336S0011X | Specialty Pharmacy | — | — | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 01/31/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 027104400 | — | DC |
| 01 | — | 0903814 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 01 | — | 1225147796 | MD MED DME \# | MD |
| 05 | — | 1225147796 | — | MD |