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Procare Pharmacy, LLC — NPI 1417216128, Atlanta, GA | NPI Central

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NPI 1417216128

OrganizationActive

Procare Pharmacy, LLC

NPI 1417216128 · Specialty Pharmacy · Atlanta, GA

Provider details

NPI number: 1417216128
Entity type: Organization
Primary specialty: Specialty PharmacySuppliers
Organization subpart: No
Authorized official: Brandon Aycock, President(401) 765-1500

Specialties & taxonomies

Specialty PharmacyPrimary3336S0011X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Community/Retail Pharmacy3336C0003XLicense PHRE009830 (GA)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

2700 Northeast Expy Ne

Suite B-800

Atlanta, GA 30345

Phone: (404) 367-9111

Fax: (404) 367-9199

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

1127 Bryn Mawr Ave

Redlands, CA 92374-4558

Other names (DBA / former)

Doing business as: Cvs/Pharmacy #48637
Doing business as: Encompass Rx 48637
Doing business as: Encompass Rx 48637

Registry dates

Enumerated: 2012-05-15
Last updated: 2025-12-10
Certified: 2025-12-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.