Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
6685 E LAKE MEAD BLVD, LAS VEGAS, NV 89156-7014
(702) 873-8412
(702) 438-0461
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
PH 1346
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2802600
—
NV
01
—
2969600
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2969600
—
NV
Enumeration date
08/30/2006
Last updated
03/10/2008
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