Organization
THRIFTY PAYLESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
15331 BASELINE AVENUE, FONTANA, CA 92336
(909) 574-2831
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
PHY48336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5624336
OTHER ID NUMBER
—
Enumeration date
11/09/2006
Last updated
03/07/2018
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