Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 06753
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
28995 NEWPORT ROAD, MENIFEE, CA 92584
(717) 761-2633
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 975-5937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5661120
NCPDP
—
01
—
BH320B
FLU PTAN#
CA
Enumeration date
09/23/2016
Last updated
06/12/2018
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