# LANE DRUG CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RITE AID PHARMACY 02392
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194834432
- **Authorized official:** JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
- **Authorized official phone:** (717) 975-5937

## Contact information

- **Practice address:** 705 WEST HIGH AVENUE, NEW PHILADELPHIA, OH 44663-2057
- **Practice address phone:** (330) 339-2565
- **Mailing address:** 200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
- **Mailing address phone:** (717) 761-2633
- **Mailing address fax:** (717) 975-8659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | OH | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0732416 | MEDICAID DME | OH |
| 05 | — | 0732416 | — | OH |
| 01 | — | 3651874 | NCPDP | — |