Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05261
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
19475 7TH AVENUE NORTHEAST, POULSBO VILLAGE, POULSBO, WA 98370-7527
(360) 697-2209
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
262010402405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4916500
OTHER ID NUMBER
—
05
—
6017933
—
WA
Enumeration date
07/31/2006
Last updated
12/15/2011
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