Healthcare Provider Details

I. General information

NPI: 1992181937
Provider Name (Legal Business Name): RITE AID CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 WAKEFIELD ST
ROCHESTER NH
03867-1304
US

IV. Provider business mailing address

190 WAKEFIELD ST
ROCHESTER NH
03867-1304
US

V. Phone/Fax

Practice location:
  • Phone: 603-332-3800
  • Fax:
Mailing address:
  • Phone: 603-332-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number4057
License Number StateNH

VIII. Authorized Official

Name: CHELSEA N MCKEVITT
Title or Position: PHARMACIST
Credential: RPH
Phone: 845-705-4029