Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID CORPORATION 05907
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-8659
Entity
Organization
Contact information
Practice address
130 ALAMO PLAZA, ALAMO, CA 94507-1550
(925) 820-1233
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
PHY42495
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY42495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0569193
NCPDP
CA
05
—
PHA424950
—
CA
Enumeration date
07/24/2006
Last updated
10/18/2011
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