Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 03835
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
11401 COASTAL HIGHWAY, GOLD COAST MALL, OCEAN CITY, MD 21842-2516
(410) 524-3700
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
P00205
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000687807
—
DE
01
—
2115447
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
477022600
—
MD
01
—
477038200
MEDICAID DME
MD
Enumeration date
08/30/2006
Last updated
09/01/2011
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