Organization
PROCARE PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #03129
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1002 E MCDOWELL RD, PHOENIX, AZ 85006-2625
(800) 351-5552
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
Primary
Y03365
AZ
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0325957
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/29/2006
Last updated
06/26/2024
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