MEDICARE: RITEWAY 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	333600000X	Pharmacy	054009672	IL

General Provider Information

NPI Number	:	1871654236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITEWAY PHARMACY INC

Provider Business Mailing Address
First Line	:	4913 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-2505
Country	:	US
Telephone Number	:	773-688-5438
Fax Number	:

Provider Business Practice Location Address
First Line	:	4913 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-2505
Country	:	US
Telephone Number	:	773-688-5438
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	MR. BHUGILAL M PATEL
Credential	:	PHARMACIST
Telephone Number	:	773-848-0771

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	01/18/2023

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