Organization
RITE AID OF NEW HAMPSHIRE INC
Active
Other names
RITE AID PHARMACY 04155
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
6 MAIN STREET, PLYMOUTH, NH 03264-1440
(603) 536-4377
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
0420P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021216
—
VT
05
—
1801905203
—
ME
05
—
30007145
—
NH
01
—
3005320
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
RI1002576
—
VT
Enumeration date
08/30/2006
Last updated
02/27/2013
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