Organization
THRIFTY PAYLESS INC
Active
Other names
Rite Aid Pharmacy 05513
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION)
(717) 975-5937
Entity
Organization
Contact information
Practice address
501 SOUTH GAFFEY STREET, SAN PEDRO PLAZA, SAN PEDRO, CA 90731-2437
(310) 831-9167
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
PHY42496
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0568292
OTHER ID NUMBER
—
01
—
PHA424960
MEDICAID DME
CA
05
—
PHA424960
—
CA
Enumeration date
08/30/2006
Last updated
10/26/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us