Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06462
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
27000 MILLER BAY RD NE 4, KINGSTON, WA 98346-9404
(360) 297-5200
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
(717) 761-2633
(717) 975-8659
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00059230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932807
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6031652
—
WA
01
—
9062043
MEDICAID DME
WA
Enumeration date
12/12/2007
Last updated
12/16/2011
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