Organization
PROCARE PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #02708
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
445 CASTRO ST, SAN FRANCISCO, CA 94114-2019
(800) 436-7119
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHY49051
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519655
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
1508975079
—
CA
Enumeration date
08/29/2006
Last updated
01/31/2021
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