Organization
RITE AID OF NEW YORK INC
Active
Other names
RITE AID PHARMACY 07829
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANG ONL ADJ)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1701 ROUTE 9, CLIFTON PARK, NY 12065-3100
(518) 371-5303
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
0288223
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02968683
—
NY
01
—
3357298
OTHER ID NUMBER
—
Enumeration date
01/23/2008
Last updated
01/04/2012
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