Organization · Type 2 NPI

Procare Pharmacy LLC

Pharmacy · San Diego, CA

NPI number 1962511436 Active

Practice location

1010 University Ave
San Diego, CA 92103-3398

Call (800) 773-6408 Map

Mailing address

1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PHY49046
Community/Retail Pharmacy	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1962511436
Entity type: Organization (Type 2)
Issued: Aug 29, 2006
Last updated: Jan 31, 2021
Status: Active

Other names

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CVS Pharmacy #02855 · doing business as
CVS Pharmacy #02855 · doing business as

Authorized official

Susan Colbert
Director Payer Relations
(401) 770-2751

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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 1962511436

Procare Pharmacy LLC's National Provider Identifier is 1962511436, issued on Aug 29, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Diego, CA. The record was last updated on Jan 31, 2021.