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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY GANNON (PHARMACY MANAGER)
(724) 443-5455
Entity
Organization
Contact information
Practice address
4960 WILLIAM FLYNN HWY, ALLISON PARK, PA 15101-2354
(724) 443-5455
Mailing address
4960 WILLIAM FLYNN HWY, ALLISON PARK, PA 15101-2354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP045848L
PA
183500000X
Pharmacist
RP1003968
PA
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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