Genovese Drug Stores INC
Pharmacy, Community/Retail Pharmacy in Great Neck, NY. Organization (NPI-2).
NPI number1497854749
StatusActive
Last updated in NPPESOct 3, 2011
Details
- NPI
- 1497854749
- Entity type
- Organization (NPI-2)
- Legal business name
- Genovese Drug Stores INC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2006
- Last updated
- Oct 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 022142 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 10558 (Doing Business As)
Practice location
152 154 Middle Neck RoadGreat Neck, NY 11023
Phone 516-482-3833
Mailing address
200 Newberry CommonsEtters, PA 17319-9363
Phone 717-761-2633 · Fax 717-975-8659
Authorized official
Jennifer Zorek
Manager Online Adjudication
7179755937
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