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General NPI Number Information
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NPI Number | 1114233897
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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 | 08/19/2010
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 2305 JEFFERSON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4509
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Country | US
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Telephone | 757-244-6851
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Fax | 757-244-1642
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Provider Business Mailing Address
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Address Line | 2305 JEFFERSON AVE
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4509
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Country | US
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Telephone | 757-244-6851
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Fax | 757-244-1642
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Authorized Official
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Title or Position | PHARMACIST
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Name | THOMPSON IWEGBUNA NNAJI
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Credential |
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Telephone | 757-244-6851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 0202010899
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License Number State | VA
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