Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06711
Organization subpart
No
Provider details
NPI number
Authorized official
JENNFIER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
13460 HIGHLANDS PLACE, SAN DIEGO, CA 92130
(717) 761-2633
Mailing address
200 NEWBERRY CMNS, ETTERS, PA 17319-9363
(717) 975-5937
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104216571
—
CA
01
—
NABP
5653907
—
Enumeration date
01/23/2015
Last updated
05/10/2016
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