Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMI HADDADIN (PHARMACIST)
(312) 714-5324
Entity
Organization
Contact information
Practice address
1251 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-3306
(805) 545-0655
Mailing address
1251 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-3306
(805) 545-0655
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
68458
CA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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