MEDICARE: ALLCARE PHARMACY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	10321	NC
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780813394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLCARE PHARMACY SERVICES, LLC

Provider Business Mailing Address
First Line	:	9641 BITTER MELON DRIVE
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-5917
Country	:	US
Telephone Number	:	919-639-6030
Fax Number	:	919-639-6038

Provider Business Practice Location Address
First Line	:	9641 BITTER MELON DRIVE
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-5917
Country	:	US
Telephone Number	:	919-639-6030
Fax Number	:	919-639-6038

Authorized Official
Title or Position	:	PHARMACIST MANAGER
Name	:	DR. CALISTA IJEOMA CHUKWU
Credential	:	PHARM-D
Telephone Number	:	919-639-6030

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	03/25/2021

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