Healthcare Provider Details

I. General information

NPI: 1699189266
Provider Name (Legal Business Name): RITE AID
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25100 HARPER AVE
SAINT CLAIR SHORES MI
48081-2207
US

IV. Provider business mailing address

25100 HARPER AVE
SAINT CLAIR SHORES MI
48081-2207
US

V. Phone/Fax

Practice location:
  • Phone: 586-445-8181
  • Fax:
Mailing address:
  • Phone: 586-445-8181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberX
License Number StateMI

VIII. Authorized Official

Name: TERESA SAVAL
Title or Position: PHARMACIST
Credential:
Phone: 586-445-8181