Organization
MAXI DRUG INC
Active
Other names
RITE AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
33 MAIN STREET, CENTERBROOK, CT 06409
(860) 767-1455
(860) 767-8076
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
81
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0720183
OTHER ID NUMBER
—
Enumeration date
09/25/2006
Last updated
02/01/2008
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