Organization
RITE AID OF PENNSYLVANIA LLC
Active
Other names
RITE AID PHARMACY 04415
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
14 FIFTH STREET, WILLIAMSPORT, PA 17701-6201
(570) 321-9350
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
PP415255L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007292981068
MEDICAID DME
PA
05
—
1007292981068
—
PA
01
—
3972610
OTHER ID NUMBER
—
Enumeration date
10/12/2006
Last updated
06/24/2020
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