Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 04063
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
12 NORTH 9TH AVENUE, YAKIMA, WA 98902-3065
(509) 452-2600
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
CF00059068
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932376
OTHER ID NUMBER
—
Enumeration date
05/11/2007
Last updated
12/14/2011
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