Organization
LANE DRUG CO
Active
Other names
Rite Aid Pharmacy 02309
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
1012 W SYLVANIA AVE, TOLEDO, OH 43612-1702
(419) 478-8177
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0731999
—
OH
01
—
3651418
NCPDP
—
05
—
3651418
—
MI
Enumeration date
08/30/2006
Last updated
06/04/2014
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