Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 04067
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3307 EVERGREEN WAY, STE 4, WASHOUGAL, WA 98671-2062
(360) 335-9255
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
CF00059070
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932390
OTHER ID NUMBER
—
Enumeration date
05/08/2007
Last updated
12/14/2011
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