Organization
GENOVESE DRUG STORES INC
Active
Other names
RITE AID PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
6410 AMBOY RD, STATEN ISLAND, NY 10309-3129
(718) 227-5687
(718) 227-5776
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319-9363
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519313
—
NY
05
—
02522076
—
NY
01
—
3335242
OTHER ID NUMBER
—
Enumeration date
09/22/2006
Last updated
02/01/2008
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