Worcester Pharmacy LLC
NPI #1821139023 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1821139023
- Entity Type
- Organization
- Organization Name
- Worcester Pharmacy LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Sep 18, 2019
Practice Location
- Address
- 149 SHREWSBURY ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01604-4637
- Phone
- (508) 754-1791
Authorized Official
- Name
- KHALID BOUKHATEM, PHARMD, RPH
- Title
- OWNER
- Phone
- (617) 599-2793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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