Provider Demographics
NPI:1386983674
Name:ALLCARE PHARMACY INC
Entity type:Organization
Organization Name:ALLCARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF CLINICAL PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LEIGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:508-754-8800
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADS897823336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110080326AMedicaid