Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DEROSA RPH (DISTRICT MANAGER)
(781) 391-5242
Entity
Organization
Contact information
Practice address
710 E BROADWAY, BOSTON, MA 02127-1504
(617) 269-5788
Mailing address
710 E BROADWAY, BOSTON, MA 02127-1504
(617) 269-5788
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH236655
MA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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