Organization
RITE AID OF CONNECTICUT INC
Active
Other names
Rite Aid Pharmacy 06708
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
249 LEGION AVENUE, NEW HAVEN, CT 06511-1234
(203) 492-0090
Mailing address
200 NEWBERRY CMNS, ETTERS, PA 17319-9363
(717) 975-5937
(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
—
008063888
—
CT
01
—
0723949
NABP
—
Enumeration date
11/10/2015
Last updated
06/24/2016
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