Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06514
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANG ONL ADJ)
(717) 975-5937
Entity
Organization
Contact information
Practice address
16120 BEAR VALLEY ROAD, VICTORVILLE, CA 92395-8706
(760) 951-0210
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
PHY-48745
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY48745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5627849
OTHER ID NUMBER
—
05
—
PHA487450
—
CA
Enumeration date
08/07/2007
Last updated
10/25/2011
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