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Organization

GENOVESE DRUG STORES INC

Active
Other names
RITE AID PHARMACY 10646
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
457 PARK AVENUE, LINDENHURST, NY 11757-5250
(631) 225-5480
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
020245
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01136016
NY
01
3394880
OTHER ID NUMBER
Enumeration date
09/26/2006
Last updated
10/05/2011
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