Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 05470
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
220 EAST GRAND AVENUE, EL SEGUNDO, CA 90245-3827
(310) 640-2715
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
PHY42557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0587139
OTHER ID NUMBER
—
01
—
PHA425570
MEDICAID DME
CA
05
—
PHA425570
—
CA
Enumeration date
07/31/2006
Last updated
10/26/2011
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