Organization
RITE AID OF VIRGINIA INC
Active
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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