Genovese Drug Stores INC
Pharmacy, Community/Retail Pharmacy in Mount Vernon, NY. Organization (NPI-2).
NPI number1114957271
StatusActive
Last updated in NPPESOct 3, 2011
Details
- NPI
- 1114957271
- Entity type
- Organization (NPI-2)
- Legal business name
- Genovese Drug Stores INC
- Organization subpart
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Oct 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 10548 (Doing Business As)
Practice location
47 East Prospect AvenueMount Vernon, NY 10550-2225
Phone 914-667-0400
Mailing address
200 Newberry CommonsEtters, PA 17319-9363
Phone 717-761-2633 · Fax 717-975-8659
Authorized official
Jennifer Zorek
Manager Ol Adjudication
7179755937
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