Eckerd Corporation
Pharmacy, Community/Retail Pharmacy in Wayne, PA. Organization (NPI-2).
NPI number1720187909
StatusActive
Last updated in NPPESNov 28, 2011
Details
- NPI
- 1720187909
- Entity type
- Organization (NPI-2)
- Legal business name
- Eckerd Corporation
- Organization subpart
- No
- Enumeration date
- Sep 22, 2006
- Last updated
- Nov 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PP481219 | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 11119 (Doing Business As)
Practice location
644 West Lancaster AvenueWayne, PA 19087-2525
Phone 610-964-8981
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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