Provider Demographics
NPI:1306182670
Name:RIGHTCHOICE PHARMACY LLC
Entity Type:Organization
Organization Name:RIGHTCHOICE PHARMACY LLC
Other - Org Name:RIGHTCHOICE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIMINKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-509-0707
Mailing Address - Street 1:2309 W WOOLBRIGHT RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426
Mailing Address - Country:US
Mailing Address - Phone:561-509-0707
Mailing Address - Fax:561-509-0705
Practice Address - Street 1:2309 W WOOLBRIGHT RD
Practice Address - Street 2:SUITE 4
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426
Practice Address - Country:US
Practice Address - Phone:561-509-0707
Practice Address - Fax:561-509-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-14
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH265683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009345900Medicaid
2138596OtherPK