Organization
RITE AID OF MAINE INC
Active
Other names
RITE AID PHARMACY 04122
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HARVEY (MANAGER INSURANCE SETUP)
(717) 730-7781
Entity
Organization
Contact information
Practice address
365 ALLEN AVENUE, PORTLAND, ME 04103-3728
(207) 797-4351
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
880
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194890019
—
ME
01
—
2005595
OTHER ID NUMBER
—
Enumeration date
11/13/2006
Last updated
08/26/2011
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