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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE TENERELLI (CLINICAL MANAGER)
(916) 631-7591
Entity
Organization
Contact information
Practice address
9715 OTIS ST, SOUTH GATE, CA 90280-4931
(323) 566-1198
(323) 566-0760
Mailing address
9715 OTIS ST, SOUTH GATE, CA 90280-4931
(323) 566-1198
(323) 566-0760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40886
CA
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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