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Organization

THRIFTY PAYLESS INC

Active
Other names
Rite Aid Pharmacy 05321
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
20225 SOUTHWEST TUALATIN VALLEY HIGHWAY, ALOHA MARKET CENTER, ALOHA, OR 97006-2398
(503) 649-1576
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
6932
OR
3336C0003X
Community/Retail Pharmacy
Primary
6932
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
269466
MEDICAID DME
OR
05
3810000
OR
Enumeration date
07/23/2006
Last updated
08/24/2011
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