Provider Demographics
NPI:1760679245
Name:MEDRITE COM INC
Entity Type:Organization
Organization Name:MEDRITE COM INC
Other - Org Name:MED RITE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-394-3465
Mailing Address - Street 1:3200 N FEDERAL HWY
Mailing Address - Street 2:STE 2067
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4915
Practice Address - Country:US
Practice Address - Phone:610-277-7655
Practice Address - Fax:610-277-7833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4816753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3989108OtherOTHER ID NUMBER