NPI | 1821514050 |
---|---|
Doing Business As | RITE AID #4623 |
Entity Type | Organization |
Authorized Contact | ALYSSA SWEETEN Manager 217-709-2386 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201003412) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2017-08-18 |
Last Update Date | 2018-04-30 |