Provider Demographics
NPI:1386034726
Name:ALLCARE PHARMACY LLC
Entity Type:Organization
Organization Name:ALLCARE PHARMACY LLC
Other - Org Name:ALLCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKHIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-316-1034
Mailing Address - Street 1:590 AVENUE C
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3939
Mailing Address - Country:US
Mailing Address - Phone:973-453-4071
Mailing Address - Fax:
Practice Address - Street 1:590 AVENUE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-8829
Practice Address - Country:US
Practice Address - Phone:973-453-4071
Practice Address - Fax:908-698-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-23
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007380003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2148499OtherPK