Thrifty Payless INC
Pharmacy, Community/Retail Pharmacy in La Verne, CA. Organization (NPI-2).
NPI number1619086154
StatusActive
Last updated in NPPESOct 27, 2011
Details
- NPI
- 1619086154
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrifty Payless INC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Oct 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY44093 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 05595 (Doing Business As)
Practice location
1480 Foothill BoulevardLa Verne, CA 91750-3450
Phone 909-593-2619
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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