Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA JAZRAWI (PHARMACY DISTRICT MANAGER)
(212) 529-2181
Entity
Organization
Contact information
Practice address
408 GRAND ST, NEW YORK, NY 10002-4702
(646) 510-0643
Mailing address
4413 30TH AVE, ASTORIA, NY 11103-2151
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
058713
NY
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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