Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 03779
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1111 MOUNT HERMON ROAD, SALISBURY, MD 21804-5109
(410) 543-0446
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01272
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115081
OTHER ID NUMBER
—
05
—
476312200
—
MD
Enumeration date
08/30/2006
Last updated
03/19/2009
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