Organization
MAXI DRUG NORTH INC
Active
Other names
RITE AID PHARMACY 10292
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
679 CENTRAL AVENUE, DOVER, NH 03820-3402
(603) 742-5313
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
0723-P
NH
3336C0003X
Community/Retail Pharmacy
Primary
0723-P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151030000
—
ME
01
—
3005419
OTHER ID NUMBER
—
05
—
30701964
—
NH
Enumeration date
09/22/2006
Last updated
10/12/2011
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