Healthcare Provider Details

I. General information

NPI: 1457168668
Provider Name (Legal Business Name): PROCARE PHARMACY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 N COMMERCE PKWY
MIRAMAR FL
33025-3958
US

IV. Provider business mailing address

2850 N COMMERCE PKWY
MIRAMAR FL
33025-3958
US

V. Phone/Fax

Practice location:
  • Phone: 800-662-0586
  • Fax: 800-662-0590
Mailing address:
  • Phone: 800-662-0586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANA VICTORIA MOLINA
Title or Position: CLINICAL PHARMACY MANAGER
Credential: PHARMD.
Phone: 321-319-4096