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Organization

GENOVESE DRUG STORES INC

Active
Other names
RITE AID PHARMACY 10571
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
120 COURT STREET, BROOKLYN, NY 11201-5607
(718) 643-2146
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
026331
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02497056
NY
01
3334303
OTHER ID NUMBER
Enumeration date
09/22/2006
Last updated
10/03/2011
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