Organization · NPI-2

Genovese Drug Stores INC

Pharmacy, Community/Retail Pharmacy · Valley Stream, NY

NPI number1396844650
StatusActive
Last updated in NPPESOct 4, 2011

Details

NPI
1396844650
Entity type
Organization (NPI-2)
Legal business name
Genovese Drug Stores INC
Organization subpart
No
Enumeration date
Sep 22, 2006
Last updated
Oct 4, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy016519NYYes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Rite Aid Pharmacy 10620 (Doing Business As)

Practice location

198 West Merrick Road
Valley Stream, NY 11580-5512

Phone 516-561-1400

Mailing address

200 Newberry Commons
Etters, PA 17319-9363

Phone 717-761-2633 · Fax 717-975-8659

Authorized official

Jennifer Zorek
Manager Online Adjudication
7179755937

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