Organization
THRIFTY PAYLESS INC
Active
Other names
RITE AID PHARMACY 06469
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
1325 6TH STREET, NORCO, CA 92860-1360
(951) 549-8586
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
PHY47543
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY47543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5621924
NCPDP
CA
05
—
PHA475430
—
CA
Enumeration date
05/17/2006
Last updated
10/25/2011
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