MEDICARE: RITE-WAY PHARMACY,LLC

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	333600000X	Pharmacy	025374	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	:	1316920606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE-WAY PHARMACY,LLC

Provider Business Mailing Address
First Line	:	1603 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-2914
Country	:	US
Telephone Number	:	718-860-0600
Fax Number	:	718-860-6468

Provider Business Practice Location Address
First Line	:	1603 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-2914
Country	:	US
Telephone Number	:	718-860-0600
Fax Number	:	718-860-6468

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	MR. SHAILESH A PATEL
Credential	:	RPH
Telephone Number	:	718-860-0600

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	03/28/2008

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