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General NPI Number Information
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NPI Number | 1427160357
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Entity Type | Organization
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Legal Business Name | PROCARE PHARMACY CARE, LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2850 N COMMERCE PKWY
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City | MIRAMAR
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State | FL
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Zip | 33025-3958
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Country | US
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Telephone | 800-662-0586
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Fax | 800-662-0590
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Provider Business Mailing Address
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Address Line | 2850 N COMMERCE PKWY
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City | MIRAMAR
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State | FL
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Zip | 33025-3958
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Country | US
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Telephone | 800-662-0586
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Fax | 800-662-0590
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Authorized Official
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Title or Position | CLINICAL PHARMACY MANAGER / PIC
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Name | DR. ANA VICTORIA MOLINA
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Credential | PHARMD.
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Telephone | 321-319-4096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization Pharmacy
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License Number | PH19085
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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