MEDICARE: RITE QUALITY 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	040602	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861512527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE QUALITY PHARMACY,INC

Provider Business Mailing Address
First Line	:	614 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-4927
Country	:	US
Telephone Number	:	718-826-6117
Fax Number	:	718-826-0605

Provider Business Practice Location Address
First Line	:	614 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-4927
Country	:	US
Telephone Number	:	718-826-6117
Fax Number	:	718-826-0605

Authorized Official
Title or Position	:	OWNER
Name	:	MR. FIDELIS TONY IBEH
Credential	:	RPH
Telephone Number	:	718-826-6117

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/22/2020

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