Provider Demographics
NPI:1841365426
Name:MEDRITE INC
Entity type:Organization
Organization Name:MEDRITE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-843-1855
Mailing Address - Street 1:3200 N FEDERAL HWY
Mailing Address - Street 2:STE 206-7
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6035
Mailing Address - Country:US
Mailing Address - Phone:561-843-1855
Mailing Address - Fax:
Practice Address - Street 1:3015 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-2404
Practice Address - Country:US
Practice Address - Phone:215-223-6216
Practice Address - Fax:215-223-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4816343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3987647OtherOTHER ID NUMBER-COMMERCIAL NUMBER