Provider Demographics
NPI:1689327207
Name:RITESH SHAH FOUNDATION FOR RITESH SHAH CHARITABLE PHARMACY
Entity Type:Organization
Organization Name:RITESH SHAH FOUNDATION FOR RITESH SHAH CHARITABLE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-766-0546
Mailing Address - Street 1:224 SHREWSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1292
Mailing Address - Country:US
Mailing Address - Phone:732-784-8999
Mailing Address - Fax:732-784-8933
Practice Address - Street 1:224 SHREWSBURY AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1292
Practice Address - Country:US
Practice Address - Phone:732-784-8999
Practice Address - Fax:732-784-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable