Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 10466
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
200 ROUTE 73 NORTH, SUITE 16, WEST BERLIN, NJ 08091
(856) 767-9090
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
28RS00396200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128635
OTHER ID NUMBER
—
05
—
4384903
—
NJ
01
—
4384911
MEDICAID DME
NJ
Enumeration date
09/26/2006
Last updated
09/20/2011
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