Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 10906
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
5235 LIBRARY ROAD, BETHEL PARK, PA 15102-2714
(412) 854-5760
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
PP412636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007287461269
MEDICAID DME
PA
05
—
1007287461269
—
PA
01
—
3901837
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
06/28/2011
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