| NPI | 1174807002 |
|---|---|
| Doing Business As | PROCARE LTC PHARMACY OF CONNECTICUT LLC |
| Entity Type | Organization |
| Authorized Contact | BINCY VARGHESE Director Of Compliance 888-741-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT PCY0002214) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 031744) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: RI PHN11041) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-06-07 |