Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUNG LE (PHARMACIST)
(631) 708-6845
Entity
Organization
Contact information
Practice address
2750 BOSTON RD, BRONX, NY 10469-4127
(718) 405-2127
Mailing address
201 SMITH RD, RONKONKOMA, NY 11779-2237
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
061241
NY
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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