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Organization
RITE AID PHARMACY
Active
Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIM EDGAR (PHARMACY DISTRICT MANAGER)
(408) 848-9526
Entity
Organization
Contact information
Practice address
360 E 10TH ST, GILROY, CA 95020-6576
(408) 848-2328
(408) 848-1562
Mailing address
360 E 10TH ST, GILROY, CA 95020-6576
(408) 848-2328
(408) 848-1562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH50205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH50205
PHARMACIST LICENSE NUMBER
CA
Enumeration date
04/19/2011
Last updated
04/19/2011
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