Organization
THRIFTY PAYLESS INC
Active
Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy #5582
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
CORONA PLAZA, 380 NORTH MAIN STREET, CORONA, CA 92880-2031
(951) 737-7748
(951) 737-4792
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
PHY42302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0516255
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
BBBPHA423020
—
CA
01
—
PHA423020
MEDICAID DME
CA
Enumeration date
08/30/2006
Last updated
02/07/2008
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