Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05338
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER OL ADJDUICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2425 SOUTHEAST TUALATIN VALLEY HIGHWAY, SUNSET ESPLANDE, HILLSBORO, OR 97123-7977
(503) 693-1009
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
6933
OR
3336C0003X
Community/Retail Pharmacy
Primary
6933
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139639
—
OR
01
—
3809932
NCPDP
OR
01
—
500630997
MEDICAID DME
OR
Enumeration date
07/24/2006
Last updated
08/25/2011
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