NPI | 1669581104 |
---|---|
Doing Business As | RITE AID PHARMACY 04508 |
Entity Type | Organization |
Authorized Contact | JENNIFER ZOREK Sr Manager Provider Enrollment 717-975-5937 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004160) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-29 |
Last Update Date | 2014-11-17 |