Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3875 GRANDVIEW DR, SIMPSONVILLE, SC 29680-3162
(864) 963-0559
(864) 963-0940
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50007844
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4225149
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4225149
—
SC
05
—
775167
—
SC
05
—
778445
—
SC
Enumeration date
09/22/2006
Last updated
02/01/2008
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