Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06455
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
17615 140TH AVE SE, RENTON, WA 98058-6828
(425) 204-1585
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
CF00058743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4931956
OTHER ID NUMBER
—
Enumeration date
07/14/2006
Last updated
12/21/2011
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