MEDICARE: RIGHT CHOICE PHARMACEUTICALS, 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1649885203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGHT CHOICE PHARMACEUTICALS, LLC

Provider Business Mailing Address
First Line	:	525 FORT WORTH DR STE 301
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-7131
Country	:	US
Telephone Number	:	940-241-0935
Fax Number	:	940-241-0945

Provider Business Practice Location Address
First Line	:	525 FORT WORTH DR STE 301
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-7131
Country	:	US
Telephone Number	:	940-241-0935
Fax Number	:	940-241-0945

Authorized Official
Title or Position	:	PHARMACIST - IN - CHARGE
Name	:	MRS. PHOEBE OMETE
Credential	:	PIC
Telephone Number	:	940-241-0935

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	09/10/2020

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