Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 06750
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER)
(717) 975-5937
Entity
Organization
Contact information
Practice address
28535 COLE GRADE RD, VALLEY CENTER, CA 92082-6574
(717) 761-2633
Mailing address
200 NEWBERRY CMNS, ETTERS, PA 17319-9363
(717) 975-5937
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0791491147
NSC
—
01
—
5670991
NCPDP
—
01
—
BH320A
MASS IMMUNIZATION
CA
Enumeration date
11/18/2019
Last updated
07/24/2020
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