Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN THOMAS CUNNINGHAM (PHARMACIST)
(412) 583-7334
Entity
Organization
Contact information
Practice address
16207 DETROIT AVE, LAKEWOOD, OH 44107-3784
(216) 521-8826
Mailing address
16207 DETROIT AVE, LAKEWOOD, OH 44107-3784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03333956
OH
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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