Rite Aid Of Michigan INC
Pharmacy, Community/Retail Pharmacy in Metamora, MI. Organization (NPI-2).
NPI number1619086170
StatusActive
Last updated in NPPESApr 17, 2009
Details
- NPI
- 1619086170
- Entity type
- Organization (NPI-2)
- Legal business name
- Rite Aid Of Michigan INC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Apr 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301005768 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 03356 (Doing Business As)
Practice location
3939 South Lapeer RoadMetamora, MI 48455-8950
Phone 810-678-2331
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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