Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHANA SRIKANTH (PHARMACIST)
(971) 703-9852
Entity
Organization
Contact information
Practice address
2425 SE TV HWY, HILLSBORO, OR 97123-7977
(503) 693-1009
Mailing address
5254 NW 153RD PL, PORTLAND, OR 97229-8954
(503) 308-4840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH-0014097
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0014097
PHARMACIST
OR
Enumeration date
08/12/2014
Last updated
08/12/2014
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