Healthcare Provider Details

I. General information

NPI: 1265885172
Provider Name (Legal Business Name): RITE AID
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HAMILTON ST
PHILADELPHIA PA
19130-3814
US

IV. Provider business mailing address

1500 LOCUST ST APT1415
PHILADELPHIA PA
19102-4329
US

V. Phone/Fax

Practice location:
  • Phone: 215-567-2017
  • Fax:
Mailing address:
  • Phone: 248-773-1613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: MRS. NAGHAM ABDULNOUR
Title or Position: PHARMACIST
Credential:
Phone: 248-773-1613