# APOTHECARE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Apothecare South Shore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104868983
- **Authorized official:** THOMAS MCKINNEY (CEO)
- **Authorized official phone:** (508) 588-6800

## Contact information

- **Practice address:** 629 CENTRE ST, BROCKTON, MA 02302-3307
- **Practice address phone:** (508) 588-6800
- **Mailing address:** 623 CENTRE ST, BROCKTON, MA 02302-3307
- **Mailing address phone:** (508) 588-6800
- **Mailing address fax:** (508) 588-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | DS89820 | MA | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 04/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2136215 | PK | — |