Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05797
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
5530 LAKE ISABELLA BOULEVARD, LAKE ISABELLA, CA 93240-3740
(760) 379-5621
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
PHY42722
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY42722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0587850
NCPDP
CA
05
—
PHA427220
—
CA
Enumeration date
07/25/2006
Last updated
10/13/2011
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