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Riteaid

Pharmacist in Victorville, CA. Organization (NPI-2).

NPI number1801200316
StatusActive
Last updated in NPPESJun 12, 2014

Details

NPI
1801200316
Entity type
Organization (NPI-2)
Legal business name
Riteaid
Organization subpart
No
Enumeration date
Jun 12, 2014
Last updated
Jun 12, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist65594CAYes

Practice location

14629 7th St
Victorville, CA 92395-4019

Phone 760-245-6600

Mailing address

14629 7th St
Victorville, CA 92395-4019

Phone 760-245-6600

Authorized official

Kristy Hermosilla
Pharmacist
7602456600

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