# MAXI DRUG SOUTH LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rite Aid Pharmacy 06727
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982091468
- **Authorized official:** JENNIFER ZOREK (SR MA NAGER PROVIDER ENROLLMENT)
- **Authorized official phone:** (717) 975-5937

## Contact information

- **Practice address:** 500 BROAD STREET, UNIT 6, PROVIDENCE, RI 02927-1234
- **Practice address phone:** (401) 868-9070
- **Mailing address:** 200 NEWBERRY CMNS, ETTERS, PA 17319-9363
- **Mailing address phone:** (717) 975-5937
- **Mailing address fax:** (717) 975-8659

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 10/09/2015