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Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 06776
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
636 N MAIN ST, PHOENIX, OR 97535-9607
(541) 535-1561
Mailing address
200 NEWBERRY CMNS, ETTERS, PA 17319-9363
(717) 975-5937
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588024053
—
OR
01
—
NCPDP
3845762
—
Enumeration date
02/26/2016
Last updated
10/30/2017
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