Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 02204
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
2801 FOSTER AVENUE, BALTIMORE, MD 21224-3816
(410) 732-0523
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
P01332
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432492700
—
MD
01
—
432508700
MEDICAID DME
MD
Enumeration date
08/30/2006
Last updated
09/01/2011
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