Active NPIOrganization

Worcester Pharmacy LLC

Pharmacy, Compounding Pharmacy in Worcester, Massachusetts

NPI Number1821139023
Practice location
149 Shrewsbury St, Worcester, MA 01604-4637
Fax
508-795-0813
Last updated
September 18, 2019

Worcester Pharmacy LLC is a healthcare organization based in Worcester, MA. Worcester Pharmacy LLC practices in Worcester, MA. The NPI Number for Worcester Pharmacy LLC is 1821139023 and holds a License No. 2943 (MA). The current practice location address for Worcester Pharmacy LLC is 149 Shrewsbury St, Worcester, MA 01604-4637 and can be reached out via phone at 508-754-1791 and via fax at 508-795-0813.

Provider Profile Details

NPI Number
1821139023
Provider Name
Worcester Pharmacy LLC
Provider Entity Type
Organization
Address
149 Shrewsbury St, Worcester, MA 01604-4637
Phone Number
508-754-1791
Fax Number
508-795-0813
Primary Taxonomy
Pharmacy, Compounding Pharmacy · 3336C0004X
Organization Subpart
No
Authorized Official
Khalid Boukhatem, PHARMD, RPH · Owner · 617-599-2793
Other Names
Boulevard Pharmaceutical Compounding Center (Doing Business As)
Provider Enumeration Date
February 9, 2007
Last Update Date
September 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 Shrewsbury St
Worcester, MA 01604-4637
Zip
01604-4637
Phone Number
508-754-1791
Fax Number
508-795-0813
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
149 Shrewsbury St
Worcester, MA 01604-4637
City
Worcester
State
MA
Zip
01604-4637
Phone Number
508-754-1791
Fax Number
508-795-0813

License Information

License Number (1)
2943
License State (1)
MA
Taxonomy (1)
Clinical Medical Laboratory · 291U00000X
Taxonomy (2)
Pharmacy, Compounding Pharmacy · 3336C0004X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Worcester Pharmacy LLC?

The NPI number of Worcester Pharmacy LLC is 1821139023. It was assigned on February 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Worcester Pharmacy LLC?

Worcester Pharmacy LLC is registered under the primary taxonomy Pharmacy, Compounding Pharmacy (code 3336C0004X), licensed in MA under license number 2943.

Where does Worcester Pharmacy LLC practice?

The practice location is 149 Shrewsbury St, Worcester, MA 01604-4637. The office can be reached at 508-754-1791 (phone) or 508-795-0813 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821139023 directly on the NPPES registry website.

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