Cvs Pharmacy #02855

LBN: Procare Pharmacy Llc
Cvs Pharmacy #02855 is an health care organization with primary practice located at 1010 University Ave , San Diego CA 92103-3398. 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) 773-6408, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1010 University Ave San Diego CA 92103-3398
Phone: (800) 773-6408
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 PHY49046
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1962511436
LBN Legal business name Procare Pharmacy Llc
DBA Doing business as Cvs Pharmacy #02855
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 1962511436 NPPES
California MEDICAID 1962511436
California Other 0554231
California MEDICAID 1962511436

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