Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06532
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANG ONL AJD)
(717) 975-5937
Entity
Organization
Contact information
Practice address
47985 MONROE STREET, BLDG A, INDIO, CA 92203-6752
(760) 347-3646
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
PHY48963
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184800302
—
CA
01
—
5629273
OTHER ID NUMBER
—
Enumeration date
01/17/2008
Last updated
10/25/2011
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