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Organization

RITE AID OF NEW YORK INC

Active
Other names
RITE AID PHARMACY 01911
Organization subpart
No

Provider details

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

Contact information

Practice address
2141 FILLMORE AVENUE, BUFFALO, NY 14214-2505
(716) 832-6357
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
019487
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01027210
NY
01
3389752
OTHER ID NUMBER
Enumeration date
08/30/2006
Last updated
03/19/2009
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