Organization
PERRY DRUG STORES INC AND SUBSIDIARIES
Active
Organization
PERRY DRUG STORES INC AND SUBSIDIARIES
Active
Other names
Rite Aid Pharmacy 04332
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
51341 WEST HURON RIVER DRIVE, BELLEVILLE, MI 48111-2571
(734) 484-0482
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
5301003055
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301003055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2308965
NCPDP
MI
05
—
2308965
—
MI
Enumeration date
08/08/2006
Last updated
08/08/2008
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