Organization
RITE AID OF OHIO INC
Active
Other names
Rite Aid Pharmacy 04766
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2853 GROVE AVENUE, LORAIN, OH 44055-2041
(440) 277-6181
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
020984300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009847
—
OH
01
—
3663398
OTHER ID NUMBER
—
Enumeration date
07/31/2006
Last updated
12/18/2008
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