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Organization
RITE AID PHARMACY
Active
Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA KIM (PHARMACIST)
(818) 349-0418
Entity
Organization
Contact information
Practice address
10120 MASON AVE, CHATSWORTH, CA 91311-3301
(818) 349-0418
Mailing address
10120 MASON AVE, CHATSWORTH, CA 91311-3301
(818) 349-0418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53136
CA
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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