Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
RITE AID PHARMACY 00321
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
455 NORTH THIRD STREET, OXFORD, PA 19363-1430
(610) 932-5200
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
PP413307L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007292981158
DME
PA
05
—
1007292981158
—
PA
01
—
3930434
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
789010900
—
MD
Enumeration date
10/13/2006
Last updated
05/04/2020
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