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Organization

PROCARE PHARMACY LLC

Active
Other names
CVS/PHARMACY #02516
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON M AYCOCK (PRESIDENT. PROCARE)
(401) 765-1500
Entity
Organization

Contact information

Practice address
35 KNEELAND ST, BOSTON, MA 02111-1523
(800) 717-1006
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
2870
MA
333600000X
Pharmacy
Primary
2870
MA
3336C0003X
Community/Retail Pharmacy
3336S0011X
Specialty Pharmacy
2870
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008017016
CT
01
008017022
CT DME
CT
05
0447536
MA
01
2237611
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
08/29/2006
Last updated
12/11/2025
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