Rite Aid Of Michigan INC
Pharmacy, Community/Retail Pharmacy in Center Line, MI. Organization (NPI-2).
NPI number1831208313
StatusActive
Last updated in NPPESDec 17, 2008
Details
- NPI
- 1831208313
- Entity type
- Organization (NPI-2)
- Legal business name
- Rite Aid Of Michigan INC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Dec 17, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301006744 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Rite Aid Pharmacy 04897 (Doing Business As)
Practice location
25425 Van Dyke AvenueCenter Line, MI 48015-1825
Phone 586-757-6179
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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