Organization
RDS DETROIT INC
Active
Other names
RITE AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
13240 E JEFFERSON AVE, DETROIT, MI 48215-2704
(313) 331-3343
(313) 821-8320
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005944
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2351904
OTHER ID NUMBER
—
05
—
2351904
—
MI
Enumeration date
08/29/2006
Last updated
02/01/2008
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