Healthcare Provider Details

I. General information

NPI: 1902332711
Provider Name (Legal Business Name): RITE CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1571 WALTON WAY
AUGUSTA GA
30904-3765
US

IV. Provider business mailing address

1571 WALTON WAY
AUGUSTA GA
30904-3765
US

V. Phone/Fax

Practice location:
  • Phone: 706-524-7346
  • Fax:
Mailing address:
  • Phone: 706-524-7346
  • Fax: 706-524-7446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRPH024786
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JAINAM SHAH
Title or Position: MEMBER
Credential:
Phone: 706-524-7346