Provider Demographics
NPI:1164082335
Name:PROCARE PHARMACY CARE LLC
Entity Type:Organization
Organization Name:PROCARE PHARMACY CARE LLC
Other - Org Name:NATESTO AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-319-4096
Mailing Address - Street 1:2650 SW 145TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6606
Mailing Address - Country:US
Mailing Address - Phone:877-300-1833
Mailing Address - Fax:844-209-1120
Practice Address - Street 1:2650 SW 145TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-6606
Practice Address - Country:US
Practice Address - Phone:877-300-1833
Practice Address - Fax:844-209-1120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROCARE PHARMACY CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-19
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy