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Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05335
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
8235 SOUTHWEST WILSONVILLE ROAD, WILSONVILLE TOWN CENTER, WILSONVILLE, OR 97070-7716
(503) 682-2701
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
7197
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139472
—
OR
01
—
3810466
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
500630996
MEDICAID DME
OR
Enumeration date
08/30/2006
Last updated
08/25/2011
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