Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE REYNOLDS (PMDHMR)
(770) 422-2378
Entity
Organization
Contact information
Practice address
515 S MAIN ST, LEITCHFIELD, KY 42754-1133
(270) 259-5720
Mailing address
515 S MAIN ST, LEITCHFIELD, KY 42754-1133
(270) 259-5720
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
016769
KY
3336C0003X
Community/Retail Pharmacy
72180
CA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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