# PROCARE PHARMACY, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \#02909
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578635819
- **Authorized official:** BRANDON M AYCOCK (PRESIDENT)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 1521 4TH AVE S, BIRMINGHAM, AL 35233-1612
- **Practice address phone:** (800) 598-8053
- **Mailing address:** 1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500
- **Mailing address fax:** (401) 735-1080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | 111798 | AL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 12/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003194 | — | AL |