Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY WARDLE PHARMD (PHARMACY MANAGER)
(801) 426-6650
Entity
Organization
Contact information
Practice address
774 S STATE ST, OREM, UT 84058-6308
(801) 426-6650
(801) 426-6656
Mailing address
1894 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8347
(801) 910-9850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
71165221701
UT
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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