Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 03580
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3710 SHAWNEE RD, LIMA, OH 45806-1619
(419) 991-2867
Mailing address
200 NEWBERRY CMNS, 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
021135500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117926
MEDICAID DME
OH
05
—
2117926
—
OH
01
—
3666508
NCPDP
—
Enumeration date
08/30/2006
Last updated
07/18/2015
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