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Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05343
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
145 SOUTH HIGHWAY 101, YOUNGS BAY PLAZA, WARRENTON, OR 97146-9314
(503) 861-1611
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
6778
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139084
—
OR
01
—
3807077
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3807077
—
OR
Enumeration date
08/30/2006
Last updated
08/25/2011
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