NPI | 1356867469 |
---|---|
Doing Business As | RITE AID #11222 |
Entity Type | Organization |
Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201003955) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2017-08-21 |
Last Update Date | 2018-05-01 |