Organization
RITE AID OF NEW YORK INC
Active
Other names
RITE AID PHARMACY 02749
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
119 WEST MAIN STREET, HANCOCK, NY 13783-1017
(607) 637-2887
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
021391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346758
—
NY
05
—
1007631000015
—
PA
01
—
3323540
OTHER ID NUMBER
—
Enumeration date
10/12/2006
Last updated
10/06/2011
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