Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ANDERSON MBA (SEATTLE DISTRICT MANAGER)
(425) 882-0997
Entity
Organization
Contact information
Practice address
13201 AURORA AVE N, SEATTLE, WA 98133-7584
(206) 364-7676
Mailing address
PO BOX 3165, HARRISBURG, PA 17105-3165
(717) 761-2633
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PH 60677369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401
SD PHARMACIST LICENSE
SD
01
—
PH 60677369
WA PHARMACIST LICENSE
WA
Enumeration date
08/29/2016
Last updated
08/29/2016
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