Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 00703
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2704 BELMONT AVENUE, YOUNGSTOWN, OH 44505-1820
(330) 759-2062
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
02129400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172656
MEDICAID DME
OH
05
—
0172656
—
OH
05
—
1007509250032
—
PA
01
—
3610993
NCPDP
—
Enumeration date
10/12/2006
Last updated
07/29/2013
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