Provider Demographics
NPI:1639860141
Name:PHARMA RX WORCESTER LLC
Entity Type:Organization
Organization Name:PHARMA RX WORCESTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORTIZ READ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-232-6859
Mailing Address - Street 1:1049 MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-2493
Mailing Address - Country:US
Mailing Address - Phone:508-552-2448
Mailing Address - Fax:508-552-2499
Practice Address - Street 1:708 PARK AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-2035
Practice Address - Country:US
Practice Address - Phone:508-552-2448
Practice Address - Fax:508-552-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy