Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 00384
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
8601 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21043-4176
(410) 480-1377
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P00702
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102995
NCPDP
—
05
—
223314200
—
MD
01
—
470622600
MEDICAID DME
MD
Enumeration date
08/30/2006
Last updated
04/05/2012
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