# ESSENTIALRX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EssentialRx LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518629591
- **Authorized official:** KERRY L SAM PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (508) 363-6602

## Contact information

- **Practice address:** 123 SUMMER ST STE 365, WORCESTER, MA 01608-1216
- **Practice address phone:** (508) 363-6602
- **Practice address fax:** (508) 363-7602
- **Mailing address:** 123 SUMMER ST STE 365, WORCESTER, MA 01608-1216
- **Mailing address phone:** (508) 363-6602
- **Mailing address fax:** (508) 363-7602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2021
- **Last updated:** 02/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110163939A | — | MA |