Organization
RITE AID OF NEW JERSEY INC
Active
Other names
RITE AID PHARMACY 04044
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER ONLINE ADJUICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1509 ROUTE 38, CHERRY HILL, NJ 08002
(856) 663-1695
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208001
—
NJ
01
—
0211087
MEDICAID DME
NJ
01
—
3196094
NCPDP
NJ
Enumeration date
05/14/2009
Last updated
08/17/2011
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