Provider Information for 1912017807
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RITE AID OF NEW YORK INC
Other Names:Doing Business As:RITE AID PHARMACY 03858Organization Subpart: NO
NPI: 1912017807
Last Updated: 2011-10-06
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1912017807 | ||||||||||||
Enumeration Date | 2006-08-30 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
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 | 901 EAST GUN HILL ROAD BRONX, NY 10469-3707 United States Phone: 718-231-6677 | Fax: | ||||||||||||
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