Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05419
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
660 EAST BOISE AVENUE, BOISE, ID 83706-5118
(208) 336-8340
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
ID1221CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303332
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
804028900
—
ID
Enumeration date
08/29/2006
Last updated
04/04/2023
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