| NPI | 1245753052 |
|---|---|
| Doing Business As | RITE AID #11717 |
| Entity Type | Organization |
| Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE010521) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-04-30 |