Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06474
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
101 F STREET SE, QUINCY, WA 98848-1213
(717) 975-5937
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933102
NCPDP
—
Enumeration date
09/29/2008
Last updated
10/21/2008
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