Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
RITE AID PHARMACY 02568
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (DIRECTOR)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1988 MEMORIAL HWY, SHAVERTOWN, PA 18708-1484
(570) 675-2383
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
PP412383L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007292980012
MEDICAID DME
PA
05
—
1007292980012
—
PA
01
—
3959357
OTHER ID NUMBER
—
Enumeration date
10/13/2006
Last updated
04/07/2025
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