Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 07928
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
3230 WEST ELM STREET, LIMA, OH 45805-2519
(419) 221-3679
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9636
(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
—
2918490
MEDICAID DME
OH
05
—
2918490
—
OH
01
—
3677424
NCPDP
—
Enumeration date
09/29/2008
Last updated
08/01/2011
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