Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR BASSILI DEIBO (MANAGER)
(818) 203-7021
Entity
Organization
Contact information
Practice address
5845 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4256
(805) 522-2029
(805) 522-3218
Mailing address
5845 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4256
(805) 522-2029
(805) 522-3218
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
87411
CA
3336C0003X
Community/Retail Pharmacy
Primary
8
CA
Other
Enumeration date
11/08/2012
Last updated
07/21/2022
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