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Organization

RITE AID

Active
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Organization

RITE AID

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANH LE PHARMD (PHARMACIST)
(909) 702-0856
Entity
Organization

Contact information

Practice address
1380 BARSTOW RD, BARSTOW, CA 92311-4944
(760) 252-3502
Mailing address
3102 ROCKY LN, ONTARIO, CA 91761-5071
(909) 702-0856

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
70343
CA
3336C0003X
Community/Retail Pharmacy
Primary
70343
CA

Other

Enumeration date
04/17/2014
Last updated
04/17/2014
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