Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05805
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2727 SOUTH MOONEY BOULEVARD, VISALIA, CA 93277-6240
(559) 733-0770
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
PHY42407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0520418
OTHER ID NUMBER
—
05
—
PHA424070
—
CA
Enumeration date
08/29/2006
Last updated
10/13/2011
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