Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
Rite Aid Pharmacy 06778
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
27 N 7TH ST, SUITE 100, ALLENTOWN, PA 18101-1357
(610) 437-7261
(610) 437-7265
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 975-5937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007292981181
—
PA
01
—
6004092
NCPDP
—
Enumeration date
07/12/2016
Last updated
10/05/2020
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