NPI | 1225147630 |
---|---|
Doing Business As | RITE AID PHARMACY 05985 |
Entity Type | Organization |
Authorized Contact | JENNIFER ZOREK Sr Manager Tp Provider Enrollment 717-975-5937 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY42795) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-12-01 |