Healthcare Provider Details
I. General information
NPI: 1275668782
Provider Name (Legal Business Name): RITE AID CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 HUNTER LN
CAMP HILL PA
17011-2400
US
IV. Provider business mailing address
PO BOX 371115
PITTSBURGH PA
15250-7115
US
V. Phone/Fax
- Phone: 717-761-2633
- Fax: 717-975-8659
- Phone: 717-761-2633
- Fax: 717-975-8659
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
JENNIFER
ZOREK
Title or Position: MANAGER ONLINE ADJUDICATION
Credential:
Phone: 717-975-5937