Organization
APEX DRUG STORES INC
Active
Other names
RITE AID PHARMACY 04445
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
15411 SOUTHFIELD ROAD, ALLEN PARK, MI 48101-2681
(313) 386-8604
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
6138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2353213
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2353213
—
MI
Enumeration date
08/29/2006
Last updated
03/25/2009
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