Organization
RITE AID OF MICHIGAN INC
Active
Other names
RITE AID PHARMACY 07700
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
7358 SECOR RD, LAMBERTVILLE, MI 48144-9737
(734) 856-7984
Mailing address
200 NEWBERRY CMNS, 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
5301007494
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2363353
NCPDP
—
05
—
2363353
—
MI
05
—
2373702
—
OH
01
—
4364450
MEDICAID DME
MI
Enumeration date
08/29/2006
Last updated
02/23/2015
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