Organization
RITE AID OF MARYLAND INC
Active
Organization
RITE AID OF MARYLAND INC
Active
Other names
RITE AID PHARMACY 04005
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
12524 OCEAN GATEWAY, OCEAN CITY, MD 21842-9690
(410) 213-0159
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134170
NCPDP
—
01
—
416091600
MEDICAID DME
MD
05
—
416092400
—
MD
Enumeration date
09/30/2008
Last updated
09/01/2011
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