Organization
RITE AID OF MAINE INC
Active
Other names
RITE AID PHARMACY 04120
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
16 PECK FARM ROAD, WINTHROP, ME 04364-1565
(207) 377-2279
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1042
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194890031
—
ME
01
—
2005571
OTHER ID NUMBER
—
Enumeration date
11/13/2006
Last updated
08/30/2011
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