Organization
PROCARE LTC PHARMACY OF CONNECTICUT LLC
Active
Other names
Procare LTC Pharmacy of Connecticut LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINCY VARGHESE PHARM D (DIRECTOR OF COMPLIANCE)
(888) 741-0367
Entity
Organization
Contact information
Practice address
1492 HIGHLAND AVE STE 1C, CHESHIRE, CT 06410-1287
(203) 439-9099
(631) 963-3990
Mailing address
1 OLYMPIC PL STE 600, TOWSON, MD 21204-4110
(877) 741-0367
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
031744
NY
3336L0003X
Long Term Care Pharmacy
Primary
PCY0002214
CT
3336L0003X
Long Term Care Pharmacy
PHN11041
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02869827
—
CT
01
—
2132865
PK
—
Enumeration date
10/11/2011
Last updated
06/07/2024
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