MEDICARE: RITECHOICE PHARMACY III

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
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1861853962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITECHOICE PHARMACY III

Provider Business Mailing Address
First Line	:	1801 DALY ST FL 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3715
Country	:	US
Telephone Number	:	215-500-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 S BROAD ST FL 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3905
Country	:	US
Telephone Number	:	215-500-2223
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. ADAM ACCAY
Credential	:	ESQUIRE
Telephone Number	:	215-500-2223

Provider Enumeration Date	:	03/16/2016
Last Update Date	:	03/16/2016

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Directions to “RITECHOICE PHARMACY III ” Practice Location

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