Provider Demographics
NPI:1376150011
Name:RYTEN RX, LLC
Entity Type:Organization
Organization Name:RYTEN RX, LLC
Other - Org Name:THE MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCARPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-636-0011
Mailing Address - Street 1:458 AMBOY AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-2948
Mailing Address - Country:US
Mailing Address - Phone:732-636-0011
Mailing Address - Fax:732-636-2873
Practice Address - Street 1:458 AMBOY AVE STE 2
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-2948
Practice Address - Country:US
Practice Address - Phone:732-636-0011
Practice Address - Fax:732-636-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-27
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy