Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Worcester Pharmacy LLC

Organization Clinical Medical Laboratory · NPI 1821139023

Worcester Pharmacy LLC is a Clinical Medical Laboratory in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

149 Shrewsbury St
Worcester, MA 01604-4637
Phone: (508) 754-1791
Fax: (508) 795-0813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 2943 (MA)

Record details

NPI number1821139023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khalid Boukhatem — Owner · (617) 599-2793
Other names Boulevard Pharmaceutical Compounding Center
NPI enumeratedFebruary 9, 2007
Last updated in NPPESSeptember 18, 2019
Mailing address149 Shrewsbury St, Worcester, MA 01604-4637

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