| NPI | 1184141236 |
|---|---|
| Doing Business As | RITE AID #4139 |
| Entity Type | Organization |
| Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-12-07 |