Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 06779
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3250 S EAGLE RD, MERIDIAN, ID 83642-7018
(208) 898-2543
(208) 898-8924
Mailing address
200 NEWBERRY CMNS, ETTERS, PA 17319-9363
(717) 975-5937
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265982920
—
ID
01
—
1309500
NABP
AK
Enumeration date
10/06/2016
Last updated
04/04/2023
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