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General NPI Number Information
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NPI Number | 1003266693
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 165 N STATE ST
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City | CONCORD
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State | NH
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Zip | 03301-5015
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Country | US
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Telephone | 603-223-6713
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Fax |
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Provider Business Mailing Address
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Address Line | 6 TUTTLE ST
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City | CONCORD
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State | NH
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Zip | 03301-2442
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PDM
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Name | SHAUNA ARMIENTO
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Credential |
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Telephone | 207-651-9167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 4014
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License Number State | NH
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