Healthcare Provider Details

I. General information

NPI: 1780050229
Provider Name (Legal Business Name): RITE AID
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 08/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3590 SUNSET AVE
ROCKY MOUNT NC
27804-3408
US

IV. Provider business mailing address

3590 SUNSET AVE
ROCKY MOUNT NC
27804-3408
US

V. Phone/Fax

Practice location:
  • Phone: 252-443-5101
  • Fax: 252-443-6027
Mailing address:
  • Phone: 252-443-5101
  • Fax: 252-443-6027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number25394
License Number StateNC

VIII. Authorized Official

Name: DR. ANTHONY J FRITZ
Title or Position: HARMACIST
Credential: PHARMD
Phone: 252-443-5101