Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 03060
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
614 BRADSHAW AVE, EAST LIVERPOOL, OH 43920-3240
(330) 386-6210
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
02405650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670564
—
OH
05
—
1007509250030
—
PA
05
—
13175163
—
WV
01
—
3647279
NCPDP
—
Enumeration date
10/12/2006
Last updated
03/05/2014
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