Organization
RITE AID OF OHIO INC
Active
Other names
RITE AID PHARMACY 06678
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
801 DIXIE HIGHWAY, ROSSFORD, OH 43460-1330
(419) 666-1583
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
—
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2824368
MEDICAID DME
OH
05
—
2824368
—
OH
01
—
3676915
NCPDP
—
Enumeration date
04/30/2008
Last updated
08/01/2011
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