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Organization

RITE AID OF OHIO INC

Active
Other names
RITE AID PHARMACY 02629
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER M ZOREK (MNGR OL ADJUDICATION)
(717) 975-5937
Entity
Organization

Contact information

Practice address
120 SOUTH MAIN STREET, NEW CARLISLE, OH 45344-1951
(937) 845-2042
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
02643400
OH
3336C0003X
Community/Retail Pharmacy
Primary
02643400
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0814980
OH
01
3654616
NCPDP
OH
Enumeration date
08/08/2006
Last updated
07/27/2011
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