MEDICARE: RITE AID

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302041556	MI

General Provider Information

NPI Number	:	1457894354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE AID

Provider Business Mailing Address
First Line	:	1442 KINGS COVE DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4223
Country	:	US
Telephone Number	:	586-383-1001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1442 KINGS COVE DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4223
Country	:	US
Telephone Number	:	586-383-1001
Fax Number	:

Authorized Official
Title or Position	:	PHARMD
Name	:	JILLIAN JAMES
Credential	:
Telephone Number	:	586-383-1001

Provider Enumeration Date	:	11/23/2016
Last Update Date	:	11/23/2016

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Directions to “RITE AID ” Practice Location

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