Procare Ltc Of Ma, Llc

LBN: Procare Ltc Of Ma Llc
Procare Ltc Of Ma, Llc is an health care organization with primary practice located at 155 Northboro Rd Ste 4 , Southborough MA 01772-1033. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Procare Ltc Of Ma Llc can be contacted via phone (508) 481-5800, or through Varghese, Bincy via phone (888) 741-0367.

Contact Information

Primary practice address
155 Northboro Rd Ste 4 Southborough MA 01772-1033
Phone: (508) 481-5800
Fax: (508) 481-5801
Website:
Map and Directions
Authorized official contact:
Name: Varghese, Bincy PHARM D
Phone: (888) 741-0367

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X DS90042 Massachusetts

Profile Details

NPI number 1932556438
LBN Legal business name Procare Ltc Of Ma Llc
DBA Doing business as Procare Ltc Of Ma, Llc
Authorized official Varghese, Bincy PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2016
Last updated Jun 7th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932556438 NPPES
Massachusetts MEDICAID 110115534A
Massachusetts Other 2160164

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