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Provider Information for 1699874958


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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THRIFT DRUG INC

Other Names:  
Doing Business As: 
RITE AID PHARMACY 11009

Organization Subpart: NO

NPI: 1699874958
Last Updated: 2011-06-29
Certification Date:

Details

NameValue
NPI1699874958
Enumeration Date2006-09-22
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: JENNIFER ZOREK
Title: MANAGER ONLINE ADJUDICATION
Phone: 7179755937
Mailing Address 200 NEWBERRY COMMONS
ETTERS, PA 17319-9363
United States

Phone: 717-761-2633 | Fax:717-975-8659
 
Primary Practice Address 5430 PEACH STREET
ERIE, PA 16509-2602
United States

Phone: 814-868-4624 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)PA1007287460917Medicaid DME
MEDICAIDPA1007287460917
Other (non-Medicare)3941766Other ID Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 332B00000X - Durable Medical Equipment & Medical Supplies
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyPAPP410080L