Organization
GENOVESE DRUG STORES INC
Active
Other names
RITE AID PHARMACY 10634
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
328 MAIN STREET, EAST ISLIP, NY 11730
(631) 277-4279
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01826388
—
NY
Enumeration date
07/04/2006
Last updated
10/05/2011
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