# LANE DRUG CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rite Aid Pharmacy 02319
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205945540
- **Authorized official:** JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
- **Authorized official phone:** (717) 975-5937

## Contact information

- **Practice address:** 506 WEST MARKET STREET, LIMA, OH 45801-4718
- **Practice address phone:** (419) 222-7797
- **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 | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0732667 | — | OH |
| 01 | — | 3651254 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |