Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 04580
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
4580 LIBERTY AVENUE, VERMILION, OH 44089-3285
(440) 967-2018
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
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
02098980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009829
—
OH
01
—
3663487
OTHER ID NUMBER
—
Enumeration date
08/30/2006
Last updated
07/29/2011
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