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Organization

RITE AID OF NEW JERSEY INC

Active
Other names
RITE AID PHARMACY 04045
Organization subpart
No

Provider details

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

Contact information

Practice address
1434 SOUTH BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 262-7203
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319
(717) 761-2633
(717) 975-8659

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0213918
NJ
01
0214990
MEDICAID DME
NJ
01
2120883
NCPDP
NJ
Enumeration date
06/30/2009
Last updated
08/17/2011
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