Organization
PROCARE PHARMACY, LLC
Active
Other names
CVS/pharmacy # 02971
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
350 LONGWOOD AVE, STE B, BOSTON, MA 02115-5726
(800) 617-5679
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
3027
MA
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416100
—
MA
01
—
2238497
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/29/2006
Last updated
01/31/2021
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