Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 06683
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3911 SECOR ROAD, TOLEDO, OH 43623-4404
(419) 472-8027
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
021848150
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2824340
MEDICAID DME
OH
05
—
2824340
—
OH
01
—
3676927
NCPDP
—
Enumeration date
05/02/2008
Last updated
08/01/2011
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