Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN HANCZARYK (PHARMACIST)
(508) 558-7040
Entity
Organization
Contact information
Practice address
713 CONGRESS ST, PORTLAND, ME 04102-3303
(207) 774-8456
Mailing address
290 CONGRESS ST, PORTLAND, ME 04101-3684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
ADV46138
ME
183500000X
Pharmacist
Primary
PR46137
ME
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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