Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05360
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
681 LANCASTER DRIVE NORTHEAST, SALEM, OR 97301-4733
(503) 585-7616
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 974-5865
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00075
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139498
—
OR
01
—
3804677
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
08/24/2011
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