Essentialrx Ltc

LBN: Essentialrx
Essentialrx Ltc is an health care organization with primary practice located at 123 Summer St Ste 365 , Worcester MA 01608-1216. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Essentialrx can be contacted via phone (508) 363-6602, or through Sam, Kerry L via phone (508) 363-6602.

Contact Information

Primary practice address
123 Summer St Ste 365 Worcester MA 01608-1216
Fax: (508) 363-7602
Website:
Authorized official contact:
Name: Sam, Kerry L PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1518629591
LBN Legal business name Essentialrx
DBA Doing business as Essentialrx Ltc
Authorized official Sam, Kerry L PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2021
Last updated Feb 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518629591 NPPES
Massachusetts MEDICAID 110163939A

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