Organization
ECKERD CORPORATION
Active
Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY 11259
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
1517 HOLLAND ROAD, SUFFOLK, VA 23434-6313
(757) 539-6359
Mailing address
200 NEWBERRY CMNS, 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
201001104
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008511446
—
VA
05
—
1255430492
—
NC
01
—
4831409
NCPDP
—
Enumeration date
09/22/2006
Last updated
03/07/2016
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