Organization
GENOVESE DRUG STORES INC
Active
Other names
RITE AID PHARMACY 10563
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3114 30TH AVENUE, LONG ISLAND CITY, NY 11102-1530
(718) 278-1901
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
014520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00267607
—
NY
01
—
3308790
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
10/03/2011
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