Organization
GENOVESE DRUG STORES INC
Active
Other names
RITE AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
601 PORTION RD, LAKE RONKONKOMA, NY 11779-4583
(631) 981-2550
(631) 981-2583
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
019777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01092502
—
NY
01
—
3391973
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
02/01/2008
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