Organization
RITE AID OF NEW YORK INC
Active
Other names
RITE AID PHARMACY 03677
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
162 19 HILLSIDE AVENUE, JAMAICA, NY 11432-4034
(718) 739-3451
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01549471
—
NY
01
—
3301746
OTHER ID NUMBER
—
Enumeration date
08/30/2006
Last updated
12/21/2011
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