Organization
ECKERD CORPORATION
Active
Other names
RITE AID PHARMACY 11634
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1440 SOUTH KINGS HIGHWAY, MYRTLE BEACH, SC 29577-4509
(843) 626-3646
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50007865
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4212700
OTHER ID NUMBER
—
05
—
738201
—
SC
Enumeration date
09/22/2006
Last updated
10/07/2008
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