Provider Demographics
NPI:1801368311
Name:RITE QUALITY PHARMACY LLC
Entity Type:Organization
Organization Name:RITE QUALITY PHARMACY LLC
Other - Org Name:RITE QUALITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DURNOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-223-0600
Mailing Address - Street 1:9900 SPECTRUM DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4555
Mailing Address - Country:US
Mailing Address - Phone:704-222-2872
Mailing Address - Fax:432-223-0680
Practice Address - Street 1:722 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:TX
Practice Address - Zip Code:79714
Practice Address - Country:US
Practice Address - Phone:432-223-0600
Practice Address - Fax:432-223-0680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy