Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 02214
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2855 SMITH AVENUE, GREENSPRING SHOPPING CENTER, BALTIMORE, MD 21209-1426
(410) 484-3200
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
P01342
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114700
OTHER ID NUMBER COMMERCIAL NUMBER
—
05
—
432692000
—
MD
01
—
432708000
MEDICAID DME
MD
Enumeration date
08/30/2006
Last updated
09/13/2011
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