Organization
RDS DETROIT INC
Active
Organization
RDS DETROIT INC
Active
Other names
RITE AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
48081 VAN DYKE AVE, SHELBY TWP, MI 48317-3258
(586) 731-4242
(586) 731-1947
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6041
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352843
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2352843
—
MI
Enumeration date
08/29/2006
Last updated
02/01/2008
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