Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TENERELLI (TERRITORY MGR)
(916) 631-7591
Entity
Organization
Contact information
Practice address
1208 W REDONDO BEACH BLVD, GARDENA, CA 90247-3411
(310) 323-4768
(310) 323-4693
Mailing address
1208 W REDONDO BEACH BLVD, GARDENA, CA 90247-3411
(310) 323-4768
(310) 323-4693
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
42442
CA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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