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Rite Aid Of Pennsylvania LLC

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

NPI number1730278474
StatusActive
Last updated in NPPESAug 7, 2020

Details

NPI
1730278474
Entity type
Organization (NPI-2)
Legal business name
Rite Aid Of Pennsylvania LLC
Organization subpart
No
Enumeration date
Oct 12, 2006
Certification date
Aug 7, 2020
Last updated
Aug 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPP412505LPAYes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Rite Aid Pharmacy 01144 (Doing Business As)

Practice location

500 Chesterbrook Boulevard
Suite 2
Chesterbrook, PA 19087-5645

Phone 610-647-4490

Mailing address

200 Newberry Commons
Etters, PA 17319-9363

Phone 717-761-2633 · Fax 717-975-8659

Authorized official

Jennifer Zorek
Manager Online Adjudication
7179755937

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