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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD MINTIN (DISTRICT MANGER)
(770) 532-0128
Entity
Organization
Contact information
Practice address
1085 PEACHTREE INDUSTRIAL BLVD, SUWANEE, GA 30024
(770) 614-2880
Mailing address
317 CRYSTAL DOWNS WAY, SUWANEE, GA 30024-7639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026670
GA
Other
Enumeration date
12/28/2010
Last updated
06/28/2012
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