Provider Demographics
NPI:1447688452
Name:RITEMED PHARMACY
Entity type:Organization
Organization Name:RITEMED PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PRAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANANTHULA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:4072-876-6727
Mailing Address - Street 1:1014 CYPRESS PKWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1014 CYPRESS PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3328
Practice Address - Country:US
Practice Address - Phone:407-287-6727
Practice Address - Fax:407-287-6737
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RITEMED PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-30
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy