| NPI | 1518629591 |
|---|---|
| Doing Business As | ESSENTIALRX LTC |
| Entity Type | Organization |
| Authorized Contact | KERRY L SAM Pharmacy Manager 508-363-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2022-02-10 |