Provider Demographics
NPI:1346268257
Name:ALLCARE PHARMACY
Entity Type:Organization
Organization Name:ALLCARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALSE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:931-424-8053
Mailing Address - Street 1:331 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2705
Mailing Address - Country:US
Mailing Address - Phone:831-424-8053
Mailing Address - Fax:831-424-4707
Practice Address - Street 1:331 MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2705
Practice Address - Country:US
Practice Address - Phone:831-424-8053
Practice Address - Fax:831-424-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY432403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABA5596018OtherBNDD
CA0542818OtherNABP
CAPHA43240Medicaid
CAPHY43240OtherSTATE BOARD OF PHARMACY
CAPHA43240Medicaid