Organization
RITE AID OF MICHIGAN INC
Active
Other names
RITE AID PHARMACY 01529
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1401 WEST MAIN STREET, LOWELL, MI 49331-1562
(616) 897-9221
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
5301004033
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301004033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2337156
NCPDP
MI
05
—
2337156
—
MI
Enumeration date
08/08/2006
Last updated
10/09/2008
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