Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 11110
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK III (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
96 NORTH FLOWERS MILL ROAD, LANGHORNE, PA 19047-1601
(215) 741-1330
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
PP415262L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP415262L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063951
—
OH
05
—
03029292
—
NY
01
—
1007287461376
MEDICAID DME
PA
05
—
1007287461376
—
PA
01
—
3972571
OTHER ID NUMBER
—
05
—
7P262L
—
SC
Enumeration date
09/26/2006
Last updated
09/08/2015
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