Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY 11168
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
447 WEST RIDGE PIKE, LIMERICK, PA 19468-3451
(610) 495-8454
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481369
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07308150243
—
PA
05
—
1007308150243
—
PA
01
—
3983031
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
09/30/2008
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