Healthcare Provider Details

I. General information

NPI: 1194460824
Provider Name (Legal Business Name): RITEMED RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28500 SOUTHFIELD RD STE 300
LATHRUP VILLAGE MI
48076-2722
US

IV. Provider business mailing address

28500 SOUTHFIELD RD STE 300
LATHRUP VILLAGE MI
48076-2722
US

V. Phone/Fax

Practice location:
  • Phone: 248-292-8444
  • Fax:
Mailing address:
  • Phone: 248-292-8444
  • Fax:

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 Number
License Number State

VIII. Authorized Official

Name: JUSTIN KAJY
Title or Position: PRESIDENT/CEO
Credential: PHARM. D.
Phone: 242-292-8444