Organization
RITE AID OF OHIO INC
Active
Other names
Rite Aid Pharmacy 07844
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
610 SOUTH MAIN STREET, ADA, OH 45810-1503
(419) 634-0888
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
021601500
OH
3336C0003X
Community/Retail Pharmacy
Primary
021601500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2669769
MEDICAID DME
OH
05
—
2669769
—
OH
01
—
3674745
NCPDP
OH
Enumeration date
06/17/2006
Last updated
06/18/2014
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