Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 11013
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
510 WESTERLY PARKWAY, STATE COLLEGE, PA 16801-5905
(814) 238-1862
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
PP412635L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP412635L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007287461417
MEDICAID DME
PA
05
—
1007287461417
—
PA
01
—
3901825
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
06/29/2011
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