# RITE AID PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912450537
- **Authorized official:** MIKE DEROSA RPH (DISTRICT MANAGER)
- **Authorized official phone:** (781) 391-5242

## Contact information

- **Practice address:** 710 E BROADWAY, BOSTON, MA 02127-1504
- **Practice address phone:** (617) 269-5788
- **Mailing address:** 710 E BROADWAY, BOSTON, MA 02127-1504
- **Mailing address phone:** (617) 269-5788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PH236655 | MA | Yes |

## Other

- **Enumeration date:** 08/01/2016
- **Last updated:** 08/01/2016