Organization
THRIFT DRUG INC
Active
Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 10976
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
431 COMMONS DRIVE, DUBOIS, PA 15801
(814) 371-4491
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
PP413503L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP413503L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007287461413
MEDICAID DME
PA
05
—
1007287461413
—
PA
01
—
3905102
OTHER ID NUMBER
—
Enumeration date
09/25/2006
Last updated
06/29/2011
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