Organization
RITE AID OF NEW YORK INC
Active
Other names
Rite Aid Pharmacy 04971
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER PROVIDER ENROLLMENT)
(717) 975-5937
Entity
Organization
Contact information
Practice address
550 2ND AVE, NEW YORK, NY 10016-6307
(212) 213-9887
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
024248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01922036
—
NY
01
—
3304122
OTHER ID NUMBER
—
Enumeration date
08/29/2006
Last updated
10/30/2017
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