Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 00277
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
332 SOUTH MAIN STREET, MARION, OH 43302-5006
(740) 382-0650
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
020965300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345193
—
OH
01
—
0579948
MEDICAID DME
OH
Enumeration date
08/30/2006
Last updated
12/03/2008
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