Organization
RITE AID OF NEW YORK INC
Active
Other names
RITE AID PHARMACY 03411
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
60 CENTRAL AVENUE, LANCASTER, NY 14086-2115
(716) 684-7584
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
021674
NY
3336C0003X
Community/Retail Pharmacy
Primary
021674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01416724
MEDICAID DME
NY
05
—
01416724
—
NY
01
—
3330761
NCPDP
NY
Enumeration date
07/29/2006
Last updated
12/29/2011
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