Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAPAN PATEL (PHARMACIST)
(513) 442-8078
Entity
Organization
Contact information
Practice address
2059 S GAREY AVENUE, POMONA, CA 91765
(909) 613-1191
Mailing address
2059 S GAREY AVENUE, POMONA, CA 91765
(909) 613-1191
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
74789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74789
CALIFORNIA REGISTERD PHARMACIST
CA
Enumeration date
10/17/2016
Last updated
10/17/2016
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