Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05940
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3207 CROW CANYON PLACE, CROW CANYON COMMONS, SAN RAMON, CA 94583-1325
(925) 866-0505
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
PHY42646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577948
OTHER ID NUMBER
—
05
—
PHA426460
—
CA
Enumeration date
08/30/2006
Last updated
10/18/2011
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