Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 11139
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
6515 CASTOR AVENUE, PHILADELPHIA, PA 19149-2708
(215) 535-2800
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
PP-411564-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007287461400
MEDICAID DME
PA
05
—
1007287461400
—
PA
01
—
3970705
COMMERCIAL/NABP
—
Enumeration date
07/04/2006
Last updated
11/03/2011
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