Organization · Type 2 NPI

Procare LTC Pharmacy of Connecticut LLC

Long Term Care Pharmacy · Cheshire, CT

NPI number 1174807002 Active

Practice location

1492 Highland Ave Ste 1C
Cheshire, CT 06410-1287

Call (203) 439-9099 Map

Fax (631) 963-3990

Mailing address

1 Olympic Pl Ste 600
Towson, MD 21204-4110

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	031744 (NY)
Long Term Care Pharmacy Primary	3336L0003X	PCY0002214 (CT)
Long Term Care Pharmacy	3336L0003X	PHN11041 (RI)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Thomas Richard Simenson, R.PH.Pharmacist Cheshire, CT NPI 1922139948

Other long term care pharmacy providers in Cheshire

Value Healthcare Services LLCLong Term Care Pharmacy Cheshire, CT NPI 1881791093

See all in Cheshire →

NPI record

NPI: 1174807002
Entity type: Organization (Type 2)
Issued: Oct 11, 2011
Last updated: Jun 7, 2024
Status: Active

Other names

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Procare LTC Pharmacy of Connecticut LLC · doing business as
Procare LTC Pharmacy of Connecticut LLC · doing business as

Authorized official

Dr. Bincy Varghese, PHARM D
Director of Compliance
(888) 741-0367

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174807002

Procare LTC Pharmacy of Connecticut LLC's National Provider Identifier is 1174807002, issued on Oct 11, 2011. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Cheshire, CT. The record was last updated on Jun 7, 2024.