Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU ANN OBERNESSER (PHARMACY DISTRICT MANAGER)
(518) 438-1213
Entity
Organization
Contact information
Practice address
54 LORI DR, NISKAYUNA, NY 12309-3157
(518) 813-2724
Mailing address
54 LORI DRIVE, NISKAYUNA, NY 12309
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
062191
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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