Rite Aid Of Ohio INC
Pharmacy, Community/Retail Pharmacy in Lakewood, OH. Organization (NPI-2).
NPI number1790791002
StatusActive
Last updated in NPPESDec 18, 2008
Details
- NPI
- 1790791002
- Entity type
- Organization (NPI-2)
- Legal business name
- Rite Aid Of Ohio INC
- Organization subpart
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Dec 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 020964250 | OH | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 04278 (Doing Business As)
Practice location
16207 Detroit AvenueLakewood, OH 44107-3784
Phone 216-521-8826
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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All 6 Community/Retail Pharmacy providers in Lakewood · All 1,056 providers in Lakewood
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