Organization
USIPN LLC
Active
Organization
USIPN LLC
Active
Other names
Procare Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR PARIKH (PIC)
(904) 397-0440
Entity
Organization
Contact information
Practice address
391 W MACCLENNY AVE, MACCLENNY, FL 32063-2033
(904) 397-0440
(904) 397-0441
Mailing address
391 W MACCLENNY AVE, MACCLENNY, FL 32063-2033
(904) 397-0440
(904) 397-0441
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PH24239
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001494700
—
FL
01
—
1048455
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2009
Last updated
03/09/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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