Organization
PROCARE PHARMACY, LLC
Active
Other names
CVS Pharmacy #02859
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SERVICES)
(800) 746-7287
Entity
Organization
Contact information
Practice address
7950 FLOYD CURL DR STE 106, SAN ANTONIO, TX 78229-3916
(866) 254-0941
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
20401
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4513619
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
464511
—
TX
Enumeration date
08/29/2006
Last updated
06/12/2024
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