MEDICARE: RITECHOICE PHARMACY INC

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	332B00000X	Durable Medical Equipment & Medical Supplies	PP482378	PA
2	333600000X	Pharmacy
3	3336C0002X	Clinic Pharmacy	PP482378	PA
4	3336S0011X	Specialty Pharmacy	PP482378	PA
5	3336C0003X	Community/Retail Pharmacy	PP482378	PA

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
2	2139589	OTHER		PK

General Provider Information

NPI Number	:	1811239056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITECHOICE PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 3704
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-0704
Country	:	US
Telephone Number	:	215-500-2223
Fax Number	:	267-392-6187

Provider Business Practice Location Address
First Line	:	6328 WOODLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-2322
Country	:	US
Telephone Number	:	215-727-7700
Fax Number	:	267-292-2935

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. ADRIAN ACCAY
Credential	:	RPH
Telephone Number	:	610-996-6660

Provider Enumeration Date	:	03/26/2013
Last Update Date	:	01/25/2024

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Directions to “RITECHOICE PHARMACY INC ” Practice Location

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