Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA OHANIAN (PHARMACIST)
(619) 607-0055
Entity
Organization
Contact information
Practice address
199 N FAIRVIEW AVE, GOLETA, CA 93117-2304
(805) 964-9892
Mailing address
6130 NEVADA AVE APT 323, WOODLAND HILLS, CA 91367-3491
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PHY42635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY42635
PHARMACY IDENTIFICATION NUMBER
CA
Enumeration date
01/12/2016
Last updated
01/12/2016
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