MEDICARE: RITE SCRIPTS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1194324277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE SCRIPTS PHARMACY INC

Provider Business Mailing Address
First Line	:	13835 WESTHOLLOW PARK DR APT 2805
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1885
Country	:	US
Telephone Number	:	832-417-3042
Fax Number	:

Provider Business Practice Location Address
First Line	:	13835 WESTHOLLOW PARK DR APT 2805
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1885
Country	:	US
Telephone Number	:	832-417-3042
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	HENRIETTA AYONG
Credential	:
Telephone Number	:	832-417-3042

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	10/20/2020

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