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PROCARE LTC OF MA LLC NPI 1932556438


NPI Information

NPI: 1932556438
Provider Name: PROCARE LTC OF MA LLC

Doing Business As: PROCARE LTC OF MA, LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
155 NORTHBORO RD STE 4
SOUTHBOROUGH, MA
ZIP 01772
Phone: (508) 481-5800
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PROCARE LTC OF MA LLC is a long term care pharmacy pharmacy in Southborough, MA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PROCARE LTC OF MA LLC NPI is 1932556438. The provider is registered as an organization entity type.
The provider Is Doing Business As Procare Ltc Of Ma, Llc.

The provider's business location address is:

155 NORTHBORO RD STE 4
SOUTHBOROUGH, MA
ZIP 01772-033
Phone: (508) 481-5800
Fax: (508) 481-5801

The provider's authorized official is Rajiv Dhadwal .
The authorized official title is Chief Compliance Officer and has the following contact phone number (631) 815-5821.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 7/19/2018.


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
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyDS90042MASSACHUSETTSYes

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
12160164OTHERPK
2110115534AMEDICAIDMASSACHUSETTS

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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