MEDICARE: RMC RX 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

General Provider Information

NPI Number	:	1790466753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RMC RX LLC

Provider Business Mailing Address
First Line	:	236 S ORANGE AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2459
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 S ORANGE AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2459
Country	:	US
Telephone Number	:	973-732-9762
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ASHRAF LATIF
Credential	:
Telephone Number	:	973-417-6871

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

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Directions to “RMC RX LLC ” Practice Location

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