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Organization
RITEAID PHARMACY
Active
Organization
RITEAID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAMMA MATHEW (PHARMACIST)
(267) 255-7444
Entity
Organization
Contact information
Practice address
7700 CRITTENDEN ST, PHILADELPHIA, PA 19118-4421
(215) 242-8022
Mailing address
1417 BERKSHIRE DR, BENSALEM, PA 19020-4266
(267) 255-7444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP438658
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861094
ASSOCIATE NUMBER
PA
Enumeration date
07/29/2015
Last updated
07/29/2015
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