Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 06681
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
5890 MONROE STREET, SYLVANIA, OH 43560-2200
(419) 882-5860
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
021848250
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2824411
MEDICAID DME
OH
05
—
2824411
—
OH
01
—
3676890
NCPDP
—
Enumeration date
05/02/2008
Last updated
08/01/2011
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