Healthcare Provider Details

I. General information

NPI: 1437525862
Provider Name (Legal Business Name): RITE AID CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 08/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 BELL BLVD
BAYSIDE NY
11361-2061
US

IV. Provider business mailing address

3920 BELL BLVD
BAYSIDE NY
11361-2061
US

V. Phone/Fax

Practice location:
  • Phone: 718-224-2606
  • Fax: 718-224-8083
Mailing address:
  • Phone: 718-224-2606
  • Fax: 718-224-8083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number060853
License Number StateNY

VIII. Authorized Official

Name: JOHN STANDLEY
Title or Position: CEO
Credential:
Phone: 800-748-3243