Organization
RITE AID OF VIRGINIA INC
Active
Other names
RITE AID PHARMACY 01811
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1661 LASKIN ROAD, VIRGINIA BEACH, VA 23451-6138
(757) 425-7665
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
0201003585
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008517631
—
VA
01
—
4833770
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
9118161
MEDICAID DME
VA
Enumeration date
08/31/2006
Last updated
06/01/2011
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