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Organization

THRIFTY PAYLESS INC

Active
Other names
RITE AID PHARMACY 05266
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
2860 NORTHWEST BUCKLIN HILL ROAD, SILVERDALE, WA 98383-8513
(360) 692-3410
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
262010404333
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4921816
NCPDP
01
6017941
MEDICAID DME
WA
05
6017941
WA
Enumeration date
08/30/2006
Last updated
12/14/2011
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