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Rite Aid Of Pennsylvania LLC

Pharmacy, Community/Retail Pharmacy in Shavertown, PA. Organization (NPI-2).

NPI number1598855611
StatusActive
Last updated in NPPESApr 7, 2025

Details

NPI
1598855611
Entity type
Organization (NPI-2)
Legal business name
Rite Aid Of Pennsylvania LLC
Organization subpart
No
Enumeration date
Oct 13, 2006
Certification date
Apr 7, 2025
Last updated
Apr 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPP412383LPAYes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Rite Aid Pharmacy 02568 (Doing Business As)

Practice location

1988 Memorial Hwy
Shavertown, PA 18708-1484

Phone 570-675-2383

Mailing address

200 Newberry Commons
Etters, PA 17319-9363

Phone 717-761-2633 · Fax 717-975-8659

Authorized official

Jennifer Zorek
Director
7179755937

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