Organization
RITE AID OF MAINE INC
Active
Other names
RITE AID PHARMACY 03280
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
51 MARKET STREET, SOUTH PORTLAND, ME 04106-3617
(207) 799-2261
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
763
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194890081
—
ME
01
—
2004707
OTHER ID NUMBER
—
Enumeration date
11/10/2006
Last updated
10/23/2009
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