<Unavail>
LBN: Procare Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 8607 Santa Monica Blvd , West Hollywood CA 90069-4109. 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 Llc can be contacted via phone (800) 300-1199, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
8607 Santa Monica Blvd
West Hollywood CA 90069-4109
Phone: (800) 300-1199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PHY49047 | |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1407965973 |
|---|---|
| LBN Legal business name | Procare Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Sep 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407965973 | NPPES |
| California | MEDICAID | 1407965973 | |
| California | Other | 0558796 |
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