Organization
RITE AID OF NEW YORK INC
Active
Other names
RITE AID PHARMACY 04570
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
5508 METROPOLITAN AVENUE, RIDGEWOOD, NY 11385-1221
(718) 418-3841
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
022970
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01665838
—
NY
01
—
3313412
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/30/2006
Last updated
03/19/2009
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