Provider Demographics
NPI:1417143009
Name:PRESCRIPTIONS BY RITA KAY, INC
Entity Type:Organization
Organization Name:PRESCRIPTIONS BY RITA KAY, INC
Other - Org Name:HERITAGE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-737-3773
Mailing Address - Street 1:1701 MAIN AVE SW
Mailing Address - Street 2:SUITE C
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-5299
Mailing Address - Country:US
Mailing Address - Phone:256-737-3773
Mailing Address - Fax:256-737-3775
Practice Address - Street 1:1701 MAIN AVE SW
Practice Address - Street 2:SUITE C
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5299
Practice Address - Country:US
Practice Address - Phone:256-737-3773
Practice Address - Fax:256-737-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL112704332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5642050001Medicare NSC