Organization · NPI-2
Genovese Drug Stores INC
Pharmacy, Community/Retail Pharmacy · Bay Shore, NY
NPI number1235230053
StatusActive
Last updated in NPPESFeb 1, 2008
Details
- NPI
- 1235230053
- Entity type
- Organization (NPI-2)
- Legal business name
- Genovese Drug Stores INC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Feb 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 020742 | NY | Yes |
Other names
- Rite Aid Pharmacy (Doing Business As)
Practice location
599 E Main StBay Shore, NY 11706-8505
Phone 631-666-2154 · Fax 631-666-2180
Mailing address
200 Newberry CommonsEtters, PA 17319-9363
Authorized official
Jennifer Zorek
Manager Online Adjudication
7179755937
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