Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
RITE AID PHARMACY 00273
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2300 JANE ST, PITTSBURGH, PA 15203-2361
(412) 431-6773
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
PP410744L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007292980726
MEDICAID DME
PA
05
—
1007292980726
—
PA
01
—
3937565
OTHER ID NUMBER
—
Enumeration date
10/12/2006
Last updated
11/01/2022
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