Organization
RITE AID OF OHIO INC
Active
Other names
Rite Aid Pharmacy 04748
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3875 SALEM AVENUE, DAYTON, OH 45406-1633
(937) 277-1611
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
021022700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016991
—
OH
01
—
3664047
OTHER ID NUMBER
—
Enumeration date
08/31/2006
Last updated
12/18/2008
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