Organization
RITEAID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MANDY HOYSAN PHARM.D (DISTRICT MANAGER)
(570) 825-9481
Entity
Organization
Contact information
Practice address
15 W CENTRE ST, MAHANOY CITY, PA 17948-2603
(570) 590-8879
Mailing address
15 W CENTRE ST, MAHANOY CITY, PA 17948-2603
(570) 590-8879
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP025668L
PA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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