Organization
K & B LOUISIANA CORP
Active
Other names
RITE AID CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Mailing address
PO BOX 371115, PITTSBURGH, PA 15250-7115
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
LA
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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