Provider Information for 1992894620
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RITE AID OF PENNSYLVANIA LLC
Other Names:Doing Business As:RITE AID PHARMACY 00232Organization Subpart: NO
NPI: 1992894620
Last Updated: 2020-08-06
Certification Date: 2020-08-06
Certification Date: 2020-08-06
Details
| Name | Value | ||||||||||||||||
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| NPI | 1992894620 | ||||||||||||||||
| Enumeration Date | 2006-10-12 | ||||||||||||||||
| 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 | 5035 LINCOLN WAY EAST FAYETTEVILLE, PA 17222-1045 United States Phone: 717-352-3850 | Fax: | ||||||||||||||||
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