Organization
PROCARE PHARMACY, LLC.
Active
Other names
CVS Pharmacy #02909
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON M AYCOCK (PRESIDENT)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1521 4TH AVE S, BIRMINGHAM, AL 35233-1612
(800) 598-8053
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
111798
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003194
—
AL
Enumeration date
11/14/2006
Last updated
12/11/2025
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