Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 10996
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
64 NORTH MERCER AVENUE, SHARPSVILLE, PA 16150-2234
(724) 962-5771
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
PP410504L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410504L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007287461418
MEDICAID DME
PA
05
—
1007287461418
—
PA
05
—
2607389
—
OH
01
—
3966807
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
10/03/2014
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