Organization
RITE AID OF NEW YORK INC
Active
Other names
RITE AID PHARMACY 07930
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANG ONL ADJ)
(717) 975-5937
Entity
Organization
Contact information
Practice address
10640 ROCKAWAY BEACH BOULEVARD, ROCKAWAY PARK, NY 11694-2600
(717) 975-5937
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
028839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02984178
—
NY
01
—
3357262
OTHER ID NUMBER
—
Enumeration date
01/15/2008
Last updated
12/27/2011
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