Healthcare Provider Details
I. General information
NPI: 1578479093
Provider Name (Legal Business Name): RITEMED RX IV LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22341 W 8 MILE RD STE 2
DETROIT MI
48219-1217
US
IV. Provider business mailing address
22341 W 8 MILE RD STE 2
DETROIT MI
48219-1217
US
V. Phone/Fax
- Phone: 248-860-6320
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AYMAN
AL-JORANI
Title or Position: PRESIDENT/CEO
Credential: PHARMD
Phone: 248-000-0000