Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
Rite Aid Pharmacy 06712
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MA NAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
100 FORBES AVENUE, SUITE 100, PITTSBURGH, PA 15233-1234
(717) 761-2633
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 975-5937
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007292981178
—
PA
01
—
6002353
NCPDP
—
Enumeration date
06/10/2015
Last updated
10/05/2020
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