Organization
RITE AID OF NEW JERSEY INC
Active
Other names
RITE AID PHARMACY 07935
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
416 ROUTE 1, EDISON, NJ 08817-4418
(717) 555-1212
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242446
—
NJ
01
—
0244074
MEDICAID DME
NJ
01
—
3196614
NCPDP
NJ
Enumeration date
11/13/2009
Last updated
09/08/2011
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