Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY 11255
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1458 MOUNT PLEASANT RD, CHESAPEAKE, CHESAPEAKE, VA 23322-3934
(757) 482-4877
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
201003155
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008509883
—
VA
05
—
0496785
—
NC
01
—
4830673
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/26/2006
Last updated
01/28/2016
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