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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK EDWIN MAURINO RPH (PHARMACIST)
(530) 310-1717
Entity
Organization
Contact information
Practice address
2960 MAIN ST, SUSANVILLE, CA 96130-4730
(530) 257-0603
(530) 257-2737
Mailing address
1450 PAIUTE LN, SUSANVILLE, CA 96130-3585
(530) 310-1717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35354
CA
282N00000X
General Acute Care Hospital
35354
CA
Other
Enumeration date
04/24/2011
Last updated
04/24/2011
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