Provider Demographics
NPI:1629361951
Name:RITHY INC
Entity Type:Organization
Organization Name:RITHY INC
Other - Org Name:QUINCY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:
Authorized Official - First Name:RITHY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-901-2624
Mailing Address - Street 1:927 N QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1907
Mailing Address - Country:US
Mailing Address - Phone:703-243-4054
Mailing Address - Fax:703-243-4529
Practice Address - Street 1:927 N QUINCY ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1907
Practice Address - Country:US
Practice Address - Phone:703-243-4054
Practice Address - Fax:703-243-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02010044083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2131137OtherPK