Provider Demographics
NPI:1427316157
Name:MEDICAL ESSENTIALS, LLC
Entity type:Organization
Organization Name:MEDICAL ESSENTIALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:EDGERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-741-4778
Mailing Address - Street 1:224 MAIN ST
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3188
Mailing Address - Country:US
Mailing Address - Phone:877-741-4778
Mailing Address - Fax:603-912-5823
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:SUITE 3D
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3188
Practice Address - Country:US
Practice Address - Phone:877-741-4778
Practice Address - Fax:603-912-5823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy