Organization
ECKERD CORPORATION
Active
Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY 11256
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3005 OLD MILL RD, CHESAPEAKE, VA 23323-1809
(757) 485-8995
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
201003313
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008509948
—
VA
05
—
1063511293
—
NC
01
—
4830700
NCPDP
—
Enumeration date
09/22/2006
Last updated
12/05/2014
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