Organization
GENOVESE DRUG STORES INC
Active
Other names
RITE AID PHARMACY 10554
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
166 SOUTH LIBERTY DRIVE, STONY POINT, NY 10980-2746
(845) 942-2121
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
013293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00351139
—
NY
01
—
3309033
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
10/03/2011
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