Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY 11213
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
6300 YORK ROAD, BALTIMORE, MD 21212-2635
(410) 323-0838
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
P04310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132265
OTHER ID NUMBER
—
05
—
4093232 00
—
MD
Enumeration date
09/22/2006
Last updated
01/06/2012
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