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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