Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06549
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANG ONL ADJ)
(717) 975-5937
Entity
Organization
Contact information
Practice address
11200 OLIVE DRIVE, BAKERSFIELD, CA 93312-5840
(661) 588-0010
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
PHY48988
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790962660
—
CA
01
—
5629300
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/23/2008
Last updated
10/25/2011
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