Organization
RITE AID OF DELAWARE INC
Active
Other names
RITE AID PHARMACY 04926
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
455 WEST MAIN STREET, MIDDLETOWN, DE 19709-1064
(302) 376-7833
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
A30000658
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000910107
—
DE
01
—
0001035016
DME
DE
01
—
0803622
NCPDP
—
01
—
622600100
MD MEDICAID
MD
Enumeration date
08/30/2006
Last updated
10/10/2012
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