Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KURISCAK PHARMD (PHARMACY DISTRICT MANAGER)
(774) 218-5495
Entity
Organization
Contact information
Practice address
1665 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4003
(401) 353-3113
Mailing address
96 GANO ST, APT #4, PROVIDENCE, RI 02906-3848
(401) 218-5356
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH05626
RI
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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