Organization
THRIFT DRUG INC
Active
Other names
RITE AID PHARMACY 11193
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
18898 REHOBOTH MALL BOULEVARD, SUITE 1, REHOBOTH BEACH, DE 19971-6133
(302) 645-8451
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
A30000730
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000140807
—
DE
01
—
0802264
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/25/2006
Last updated
01/11/2012
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