Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILEEN DEMATERA (PHARMACIST IN CHARGE)
(201) 436-6831
Entity
Organization
Contact information
Practice address
1097 BROADWAY, BAYONNE, NJ 07002-4126
(201) 436-6831
Mailing address
1097 BROADWAY, BAYONNE, NJ 07002-4126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00294000
NJ
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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