Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 06776
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
636 N MAIN ST, PHOENIX, OR 97535-9607
(541) 535-1561
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588024053
—
OR
01
—
NCPDP
3845762
—
Enumeration date
02/26/2016
Last updated
10/30/2017
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