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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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