Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 04915
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1301 EAST STATE STREET, DELMAR, MD 21875-2330
(410) 896-9612
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
P04392
MD
3336C0003X
Community/Retail Pharmacy
Primary
P04392
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000910607
—
DE
01
—
2132811
OTHER ID NUMBER
—
05
—
410476500
—
MD
Enumeration date
10/03/2006
Last updated
09/01/2011
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