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PROCARE PHARMACY LLC NPI 1285702019


NPI Information

NPI: 1285702019
Provider Name: PROCARE PHARMACY LLC

Doing Business As: CVS PHARMACY #11188

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
979 E 3RD ST STE 120
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 713-9453
Get Directions

PROCARE PHARMACY LLC is a pharmacy in Chattanooga, TN. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PROCARE PHARMACY LLC NPI is 1285702019. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #11188.

The provider's business location address is:

979 E 3RD ST STE 120
CHATTANOOGA, TN
ZIP 37403-341
Phone: (423) 713-9453
Fax: (423) 778-3054

The provider's authorized official is Susan F. Colbert .
The authorized official title is Sr. Director and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 2/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesTENNESSEENo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy0000003414TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14421056OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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