Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06764
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MA NAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1710 NORTH FARMERSVILLE ROAD, FARMERSVILLE, CA 93223-2306
(717) 761-2633
Mailing address
200 NEWBERRY CMNS, ETTERS, PA 17319-9363
(717) 975-5937
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54619
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568843019
—
CA
01
—
5655874
NCPDP
—
Enumeration date
06/10/2015
Last updated
11/21/2016
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