Organization
RITE AID OF MAINE INC.
Active
Other names
Rite Aid Pharmacy 03946
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
28 PARK STREET, ROCKLAND, ME 04841-2862
(207) 596-0036
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
PH50000975
ME
3336C0003X
Community/Retail Pharmacy
Primary
PH50000975
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194890048
—
ME
01
—
2006434
NCPDP
ME
Enumeration date
11/13/2006
Last updated
08/30/2011
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