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Organization

RITE AID OF NEW YORK INC

Active
Other names
RITE AID PHARMACY 04192
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
40 16 NATIONAL STREET, CORONA, NY 11368-2321
(718) 507-0442
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
024506
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02043790
NY
01
3307976
OTHER ID NUMBER
Enumeration date
08/29/2006
Last updated
12/22/2011
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