Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06561
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
11352 BRYANT STREET, YUCAIPA, CA 92399-3121
(909) 790-4232
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
—
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194965004
DME
CA
05
—
1194965004
—
CA
01
—
5633880
NABP
—
Enumeration date
03/05/2009
Last updated
10/25/2011
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