Organization
EDC DRUG STORES INC
Active
Other names
RITE AID PHARMACY 11367
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1218 RALEIGH ROAD, CHAPEL HILL, NC 27517-4417
(919) 968-3777
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
8570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0685453
—
NC
01
—
3424455
NCPDP
—
01
—
7702390
MEDICAID DME
NC
Enumeration date
09/22/2006
Last updated
08/14/2017
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