Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 05335
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
8235 SOUTHWEST WILSONVILLE ROAD, WILSONVILLE TOWN CENTER, WILSONVILLE, OR 97070-7716
(503) 682-2701
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
7197
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139472
—
OR
01
—
3810466
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
500630996
MEDICAID DME
OR
Enumeration date
08/30/2006
Last updated
08/25/2011
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