Organization
RITE AID OF PENNSYLVANIA LLC
Active
Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
RITE AID PHARMACY 03527
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
155 CHARTIERS AVENUE, MCKEES ROCKS, PA 15136-3804
(412) 331-0106
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413138L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007292981143
DME
PA
05
—
1007292981143
—
PA
05
—
226802
—
OH
01
—
3967253
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
08/13/2020
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