Organization
RITE AID CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSU GREEN (PHARMACY DEVELOPMENT MANAGER)
(443) 425-6332
Entity
Organization
Contact information
Practice address
4339 EBENEZER RD, NOTTINGHAM, MD 21236-2143
(443) 600-6519
Mailing address
4339 EBENEZER RD, NOTTINGHAM, MD 21236-2143
(410) 529-8510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23543
MD
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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