Organization
PROCARE SPECIALTY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER M (PHARMACIST)
(718) 973-9722
Entity
Organization
Contact information
Practice address
2220 FOREST AVE, STATEN ISLAND, NY 10303-1752
(718) 973-9722
Mailing address
2220 FOREST AVE, STATEN ISLAND, NY 10303-1752
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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