# THRIFTY PAYLESS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RITE AID PHARMACY 05364
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508872813
- **Authorized official:** JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
- **Authorized official phone:** (717) 975-5937

## Contact information

- **Practice address:** 5452 RIVER ROAD NORTH, KEIZER CREEKSIDE SHOPPING CENTER, KEIZER, OR 97303-4429
- **Practice address phone:** (503) 393-8950
- **Mailing address:** 200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
- **Mailing address phone:** (717) 761-2633
- **Mailing address fax:** (717) 975-8659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6810 | OR | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 139811 | — | OR |
| 01 | — | 269420 | MEDICAID DME | OR |
| 01 | — | 3809413 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |