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Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06710
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
44 MICHIGAN AVE NE, BANDON, OR 97411-9743
(717) 761-2633
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 975-5937
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671200
—
OR
01
—
NABP
3845041
—
Enumeration date
01/15/2014
Last updated
09/16/2014
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