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Organization

ECKERD CORPORATION

Active
Other names
RITE AID PHARMACY 11243
Organization subpart
No

Provider details

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

Contact information

Practice address
7127 STAPLES MILL ROAD, RICHMOND, VA 23228-4110
(804) 264-2516
(804) 264-9077
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
201001076
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008511527
VA
01
4831132
OTHER ID NUMBER-COMMERCIAL NUMBER
05
8511527
VA
Enumeration date
09/22/2006
Last updated
04/30/2008
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