Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05333
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MNGR OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
785 SOUTH COLUMBIA RIVER HIGHWAY, SAINT HELENS, OR 97051-2996
(503) 397-6787
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-5982
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6781
OR
3336C0003X
Community/Retail Pharmacy
Primary
6781
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139316
—
OR
01
—
3808043
NCPDP
OR
01
—
500630995
MEDICAID DME
OR
Enumeration date
07/24/2006
Last updated
08/25/2011
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