Organization
PROCARE PHARMACY, LLC.
Active
Other names
CVS/pharmacy #10994
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON AYCOCK (PRESIDENT)
(401) 765-1500
Entity
Organization
Contact information
Practice address
60 MARKET CENTER DR STE 103, COLLIERVILLE, TN 38017-7077
(901) 316-5752
(901) 316-5760
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TN
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
5236
TN
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06257315
—
MS
01
—
4446236
NCPDP
TN
Enumeration date
09/13/2013
Last updated
12/02/2025
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