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Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05333
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MNGR OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
785 SOUTH COLUMBIA RIVER HIGHWAY, SAINT HELENS, OR 97051-2996
(503) 397-6787
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-5982
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6781
OR
3336C0003X
Community/Retail Pharmacy
Primary
6781
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139316
—
OR
01
—
3808043
NCPDP
OR
01
—
500630995
MEDICAID DME
OR
Enumeration date
07/24/2006
Last updated
08/25/2011
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