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Organization

ECKERD CORPORATION

Active
Other names
RITE AID PHARMACY # 11284
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
846 NEWPORT SQUARE SHOPPING CENTER, NEWPORT NEWS CITY, VA 23601
(757) 595-1352
(757) 599-1534
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
201002923
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008510105
VA
01
4830774
OTHER ID NUMBER-COMMERCIAL NUMBER
05
8510105
VA
Enumeration date
09/26/2006
Last updated
05/01/2008
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