Organization
LANE DRUG CO
Active
Other names
Rite Aid Pharmacy 02354
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (SR MANAGER THIRD PARTY ENROLLMENTS)
(717) 975-5937
Entity
Organization
Contact information
Practice address
4018 NORTH MCCORD ROAD, SYLVANIA, OH 43560-3264
(419) 885-2989
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
02179550
OH
3336C0003X
Community/Retail Pharmacy
Primary
02179550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0732167
—
OH
01
—
3651610
NCPDP
OH
05
—
3651610
—
MI
05
—
5402765100
—
KY
Enumeration date
07/25/2006
Last updated
08/01/2014
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