Organization
THRIFTY PAYLESS INC
Active
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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