MEDICARE: RITETIME PHARMACY/CLINIC,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336C0002X	Clinic Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1831786904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITETIME PHARMACY/CLINIC,LLC

Provider Business Mailing Address
First Line	:	14511 LAYHILL RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-1914
Country	:	US
Telephone Number	:	301-520-3239
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 IVERSON ST
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-6801
Country	:	US
Telephone Number	:	301-520-3239
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	STEPHEN FORBIN
Credential	:
Telephone Number	:	301-520-3239

Provider Enumeration Date	:	12/23/2020
Last Update Date	:	05/17/2021

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