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Organization

THRIFTY PAYLESS INC

Active
Other names
RITE AID PHARMACY 05304
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
2215 WEST WELLESLEY AVENUE, SUITE A, SPOKANE, WA 99205-5000
(509) 328-7887
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
262010403262
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0791490738
MEDICARE NSC
WA
01
4918566
OTHER ID NUMBER
05
6017222
WA
Enumeration date
08/30/2006
Last updated
08/26/2020
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