Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 00362
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
4600 WEST NORTHERN PARKWAY, BALTIMORE, MD 21215-3242
(410) 358-9777
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
P00680
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106018
NCPDP
—
01
—
420398400
MEDICAID DME
—
05
—
470402900
—
MD
Enumeration date
08/30/2006
Last updated
11/04/2014
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