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Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05340
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MAANGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
448 NE HIGHWAY 99 W, MCMINNVILLE TOWN CENTER, MCMINNVILLE, OR 97128-2793
(503) 472-2133
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
6780
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139795
—
OR
01
—
269447
MEDICAID DME
OR
01
—
3805453
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/30/2006
Last updated
05/28/2015
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