Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 11030
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
577 SOUTH MAIN STREET, SHREWSBURY, PA 17361-1737
(717) 235-6854
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
PP411929L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007287461391
MEDICAID DME
PA
05
—
1007287461391
—
PA
01
—
3964752
NCPDP
—
05
—
416658200
—
MD
Enumeration date
09/22/2006
Last updated
06/29/2011
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