Organization
RITE AID OF MICHIGAN INC
Active
Other names
Rite Aid Pharmacy 01010
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER OL ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
13916 SOUTHWEST BAY SHORE DRIVE, TRAVERSE CITY, MI 49684-6264
(231) 946-7400
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
5301006818
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2358299
NCPDP
MI
05
—
2358299
—
MI
Enumeration date
07/22/2006
Last updated
04/21/2009
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