Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOFI O ABANQUAH (PHARMACY MANAGER)
(215) 474-5447
Entity
Organization
Contact information
Practice address
4641 CHESTNUT ST, PHILA, PA 19139-4612
(215) 474-5447
(215) 474-5429
Mailing address
4641 CHESTNUT STREET, PHILA, PA 19139
(215) 474-5447
(215) 474-5429
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP1003402
PA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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