# LANE DRUG CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rite Aid Pharmacy 02347
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942223763
- **Authorized official:** JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
- **Authorized official phone:** (717) 975-5937

## Contact information

- **Practice address:** 1221 WEST HIGH STREET, BRYAN, OH 43506-1543
- **Practice address phone:** (419) 636-6142
- **Mailing address:** 200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
- **Mailing address phone:** (717) 761-2633
- **Mailing address fax:** (717) 975-8659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 02159150 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | 02159150 | OH | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 07/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0733022 | — | OH |
| 01 | — | 3651545 | NCPDP | OH |