Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06008
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1707 MCHENRY AVENUE, MODESTO, CA 95350-4306
(209) 526-4773
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
PHY42749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509692
OTHER ID NUMBER
—
05
—
PHA427490
—
CA
Enumeration date
08/30/2006
Last updated
10/19/2011
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