Organization
RITEAID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA GLOVER RPH (CLINICAL MANAGER)
(717) 975-8676
Entity
Organization
Contact information
Practice address
265 PASCACK RD, TOWNSHIP OF WASHINGTON, NJ 07676-4809
(201) 665-5289
(201) 664-5298
Mailing address
265 PASCACK RD, TOWNSHIP OF WASHINGTON, NJ 07676-4809
(201) 665-5289
(201) 664-5298
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
28RI02375600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02375600
PHARMACIST
NJ
Enumeration date
05/19/2009
Last updated
05/19/2009
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