Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY 11250
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MGR THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
101 GAINSBOROUGH SQUARE, CHESAPEAKE, VA 23320-1707
(757) 547-2456
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
201002507
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008509891
—
VA
05
—
0498120
—
NC
01
—
1154420388
MEDICAID DME
VA
01
—
4830685
NCPDP
—
Enumeration date
09/22/2006
Last updated
10/17/2012
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