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Organization

RITE AID OF MICHIGAN INC

Active
Other names
RITE AID PHARMACY 02776
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
603 EAST SAVIDGE STREET, SPRING LAKE, MI 49456-1956
(616) 842-1461
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
5301005619
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301005619
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2348781
NCPDP
MI
05
2348781
MI
Enumeration date
08/08/2006
Last updated
04/22/2009
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