Healthcare Provider Details

I. General information

NPI: 1780813394
Provider Name (Legal Business Name): ALLCARE PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 03/25/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9641 BITTER MELON DRIVE
ANGIER NC
27501-5917
US

IV. Provider business mailing address

9641 BITTER MELON DRIVE
ANGIER NC
27501-5917
US

V. Phone/Fax

Practice location:
  • Phone: 919-639-6030
  • Fax: 919-639-6038
Mailing address:
  • Phone: 919-639-6030
  • Fax: 919-639-6038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number10321
License Number StateNC

VIII. Authorized Official

Name: DR. CALISTA IJEOMA CHUKWU
Title or Position: PHARMACIST MANAGER
Credential: PHARM-D
Phone: 919-639-6030