Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
RITE AID PHARMACY 00596
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
827 NORTH CENTER STREET, CORRY, PA 16407-1225
(814) 665-3764
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
PP413495L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007292980878
MEDICAID DME
PA
05
—
1007292980878
—
PA
01
—
3908437
OTHER ID NUMBER
—
Enumeration date
10/13/2006
Last updated
05/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us