Organization
THRIFTY PAYLESS, INC.
Active
Organization
THRIFTY PAYLESS, INC.
Active
Other names
Rite Aid Pharmacy #5291
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
13511 SE 3RD WAY, VANCOUVER, WA 98684-6990
(360) 885-0839
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
CF56050
WA
3336C0003X
Community/Retail Pharmacy
Primary
CF56050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4925965
NCPDP
WA
01
—
6020630
MEDICAID DME
WA
05
—
6020630
—
WA
Enumeration date
07/23/2006
Last updated
12/16/2011
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