Organization
RITE AID OF VIRGINIA INC
Active
Other names
RITE AID PHARMACY 03948
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MA NAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
10 WILLOW OAKS BLVD, SUITE #2, HAMPTON, VA 23669-1739
(757) 851-0660
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
0201001979
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008516766
—
VA
01
—
4822385
OTHER ID NUMBER
—
Enumeration date
07/25/2006
Last updated
08/19/2015
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