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
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