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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANA VAN DER MERWE B PHARM (PHARMACY MANAGER)
(707) 725-9314
Entity
Organization
Contact information
Practice address
725 S FORTUNA BLVD, FORTUNA, CA 95540-3034
(707) 725-9314
Mailing address
725 S FORTUNA BLVD, FORTUNA, CA 95540-3034
(707) 725-9314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58934
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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