NPI | 1104216571 |
---|---|
Doing Business As | RITE AID PHARMACY 06711 |
Entity Type | Organization |
Authorized Contact | JENNFIER ZOREK Sr Manager Provider Enrollment 717-975-5937 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2015-01-23 |
Last Update Date | 2016-05-10 |