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General NPI Number Information
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NPI Number | 1871654236
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Entity Type | Organization
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Legal Business Name | RITEWAY PHARMACY INC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 4913 W FULLERTON AVE
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City | CHICAGO
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State | IL
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Zip | 60639-2505
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Country | US
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Telephone | 773-688-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 4913 W FULLERTON AVE
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City | CHICAGO
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State | IL
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Zip | 60639-2505
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Country | US
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Telephone | 773-688-5438
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Fax |
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. BHUGILAL M PATEL
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Credential | PHARMACIST
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Telephone | 773-848-0771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 054009672
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License Number State | IL
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