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Organization
RITE AID PHARMACY
Active
Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ULLMAN (DISTRICT MANAGER ASSISTANT)
(216) 321-1472
Entity
Organization
Contact information
Practice address
16207 DETROIT AVE, LAKEWOOD, OH 44107-3784
(216) 521-8826
Mailing address
16860 WALNUT CREEK DR, STRONGSVILLE, OH 44149-5750
(440) 610-2799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233148-2
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03233148-2
PHARMACY STATE LICENSE
OH
Enumeration date
07/01/2014
Last updated
07/01/2014
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