Organization
MAXI DRUG NORTH INC
Active
Other names
RITE AID PHARMACY 10282
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
165 NORTH STATE STREET, CONCORD, NH 03301-5015
(603) 223-6713
(603) 225-8017
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
0551P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006207
OTHER ID NUMBER
—
05
—
30701981
—
NH
Enumeration date
09/22/2006
Last updated
08/30/2016
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