Organization
MAXI DRUG NORTH INC
Active
Other names
RITE AID PHARMACY 10284
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
348 WINCHESTER STREET, KEENE, NH 03431-3936
(603) 352-6969
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
0452P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021715
—
VT
01
—
3005445
OTHER ID NUMBER
—
05
—
30701965
—
NH
Enumeration date
09/22/2006
Last updated
06/19/2013
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