| NPI | 1932556438 |
|---|---|
| Doing Business As | PROCARE LTC OF MA, 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: MA DS90042) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-06-07 |