# RITE AID

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063825438
- **Authorized official:** DR. ANTHONY WARDLE PHARMD (PHARMACY MANAGER)
- **Authorized official phone:** (801) 426-6650

## Contact information

- **Practice address:** 774 S STATE ST, OREM, UT 84058-6308
- **Practice address phone:** (801) 426-6650
- **Practice address fax:** (801) 426-6656
- **Mailing address:** 1894 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8347
- **Mailing address phone:** (801) 910-9850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 71165221701 | UT | Yes |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 06/03/2014