Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06544
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
23940 NORTH EAST STATE ROUTE 3, BELFAIR, WA 98528-9697
(360) 275-8964
(360) 275-1203
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933138
NCPDP
—
05
—
6032130
—
WA
01
—
9062662
MEDICAID DME
WA
Enumeration date
11/26/2008
Last updated
09/21/2012
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