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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENINA SEGAL (PHARMACIST)
(718) 909-5027
Entity
Organization
Contact information
Practice address
2750 BOSTON RD, BRONX, NY 10469-4127
(718) 405-2127
Mailing address
14450 76TH AVE, FLUSHING, NY 11367-3116
(718) 909-5027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059635
NY
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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