Organization
RITE AID OF VIRGINIA INC
Active
Other names
RITE AID PHARMACY 03904
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (DIRECTOR)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2129 GENERAL BOOTH BOULEVARD, SUITE 119, VIRGINIA BEACH, VA 23454-5872
(757) 427-9129
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002492
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008502544
—
VA
05
—
0496232
—
NC
01
—
4823173
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/30/2006
Last updated
04/04/2023
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