Organization
THRIFT DRUG INC
Active
Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 10939
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
4411 HOWLEY STREET, PITTSBURGH, PA 15224-1509
(412) 621-9987
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
PP412866L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007287460838
MEDICAID DME
PA
05
—
1007287460838
—
PA
01
—
3944015
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
06/29/2011
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