Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06121
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1329 US HIGHWAY 395 NORTH, SUITE 1, GARDNERVILLE, NV 89410-5391
(775) 782-7042
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
PH1237
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2904387
NCPDP
—
05
—
2904387
—
NV
05
—
500624268
—
OR
05
—
PH015081
—
CA
Enumeration date
08/29/2006
Last updated
10/17/2012
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