Organization
PROCARE PHARMACY MONUMENT STREET LLC
Active
Organization
PROCARE PHARMACY MONUMENT STREET LLC
Active
Other names
PHARMACARE SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
1810 E MONUMENT ST, BALTIMORE, MD 21205-2107
(410) 675-2087
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P00859
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125955
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/18/2006
Last updated
09/11/2025
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