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Organization

RITE AID OF NEW YORK INC

Active
Other names
RITE AID PHARMACY 07849
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
1 CRUM ELBOW ROAD, HYDE PARK, NY 12538-2806
(845) 229-4312
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 731-6568
(717) 975-8659

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
028214
NY
3336C0003X
Community/Retail Pharmacy
Primary
028214
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02860479
MEDICAID DME
NY
05
02860479
NY
01
3352680
NCPDP
NY
Enumeration date
01/26/2007
Last updated
10/07/2011
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