Rite Aid Of New York INC
Pharmacy, Community/Retail Pharmacy in Ravena, NY. Organization (NPI-2).
NPI number1619086006
StatusActive
Last updated in NPPESJan 4, 2012
Details
- NPI
- 1619086006
- Entity type
- Organization (NPI-2)
- Legal business name
- Rite Aid Of New York INC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jan 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 023280 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 04805 (Doing Business As)
Practice location
2463 Us Route 9 WestRavena, NY 12143
Phone 518-756-6131
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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