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Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 05371
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
4041 NORTHWEST LOGAN PLAZA, LINCOLN CITY PLAZA, LINCOLN CITY, OR 97367-5054
(541) 994-6262
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
5843
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139423
—
OR
01
—
269414
MEDICAID DME
OR
01
—
3810264
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/31/2006
Last updated
08/25/2011
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