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Organization

RITE AID OF MARYLAND INC

Active
Other names
RITE AID PHARMACY 00374
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
5624 BALTIMORE NATIONAL PIKE, BALTIMORE, MD 21228-1401
(410) 719-7608
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
P00692
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2102894
OTHER ID NUMBER
05
470522000
MD
Enumeration date
08/30/2006
Last updated
09/08/2011
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