Provider Demographics
NPI:1538321328
Name:ALLCARE PHARMACY INC
Entity Type:Organization
Organization Name:ALLCARE PHARMACY INC
Other - Org Name:ALLCARE PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:APELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:508-459-3535
Mailing Address - Street 1:12 PLYMOUTH ST
Mailing Address - Street 2:SUITE #100
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-2121
Mailing Address - Country:US
Mailing Address - Phone:508-754-8800
Mailing Address - Fax:508-754-8878
Practice Address - Street 1:12 PLYMOUTH ST
Practice Address - Street 2:SUITE #100
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2121
Practice Address - Country:US
Practice Address - Phone:508-754-8800
Practice Address - Fax:508-754-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336M0002X
MADS897823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2116586OtherPK
MA0422801Medicaid
2116586OtherPK