Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05815
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER M ZOREK (MANGER ONLINE ADJDUCIATION)
(717) 730-7781
Entity
Organization
Contact information
Practice address
100 CHINA GRADE LOOP, BAKERSFIELD, CA 93308-1739
(661) 393-3358
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY44475
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY44475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564054
NCPDP
CA
05
—
PHA444750
—
CA
Enumeration date
08/11/2006
Last updated
10/13/2011
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