Cvs Pharmacy # 02819

LBN: Procare Pharmacy, L.L.C.
Cvs Pharmacy # 02819 is an health care organization with primary practice located at 1309 Nw 23Rd Ave , Portland OR 97210-2601. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Procare Pharmacy, L.L.C. can be contacted via phone (800) 850-5329, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1309 Nw 23Rd Ave Portland OR 97210-2601
Phone: (800) 850-5329
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 00368 Oregon
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1558470039
LBN Legal business name Procare Pharmacy, L.L.C.
DBA Doing business as Cvs Pharmacy # 02819
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Jan 31st, 2021 - about 5 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 1558470039 NPPES
Other 3813830 OTHER ID NUMBER-COMMERCIAL NUMBER

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