Organization
GENOVESE DRUG STORES INC
Active
Other names
RITE AID PHARMACY 10548
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
47 EAST PROSPECT AVENUE, MOUNT VERNON, NY 10550-2225
(914) 667-0400
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000275558
—
NY
01
—
3309045
NCPDP
NY
Enumeration date
07/04/2006
Last updated
10/03/2011
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