Organization
ESSENTIALRX
Active
Other names
EssentialRx LTC
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY L SAM PHARMD (PHARMACY MANAGER)
(508) 363-6602
Entity
Organization
Contact information
Practice address
123 SUMMER ST STE 365, WORCESTER, MA 01608-1216
(508) 363-6602
(508) 363-7602
Mailing address
123 SUMMER ST STE 365, WORCESTER, MA 01608-1216
(508) 363-6602
(508) 363-7602
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110163939A
—
MA
Enumeration date
10/07/2021
Last updated
02/10/2022
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