<Unavail>

LBN: Procare Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 2700 Northeast Expy Ne Suite B-800, Atlanta GA 30345. 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 / Specialty Pharmacy is the primary health care specialty. Procare Pharmacy, Llc can be contacted via phone (404) 367-9111, or through Aycock, Brandon via phone (401) 765-1500.

Contact Information

Primary practice address
2700 Northeast Expy Ne Suite B-800 Atlanta GA 30345
Phone: (404) 367-9111
Fax: (404) 367-9199
Website:
Map and Directions
Authorized official contact:
Name: Aycock, Brandon
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009830 Georgia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1417216128
LBN Legal business name Procare Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Aycock, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2012
Last updated Dec 10th, 2025 - about last year

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 1417216128 NPPES
Georgia MEDICAID 003123975A
Georgia MEDICAID 7G9830
Georgia Other 2135141
Georgia MEDICAID 1417216128
Georgia MEDICAID 058513900

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