Organization
ECKERD CORPORATION
Active
Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY #11260
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
571 E CONSTANCE RD, SUFFOLK, VA 23434-3003
(757) 934-2373
(757) 934-2068
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4831411
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8511471
—
VA
Enumeration date
09/26/2006
Last updated
09/20/2007
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