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General NPI Number Information
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NPI Number | 1316351893
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Entity Type | Organization
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Legal Business Name | RITE AID CORPORATION
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 1200 S MAIN ST SUITE A
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City | ADRIAN
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State | MI
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Zip | 49221-4366
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Country | US
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Telephone | 517-263-0603
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Fax | 517-266-9272
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Provider Business Mailing Address
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Address Line | 1200 S MAIN ST SUITE A
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City | ADRIAN
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State | MI
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Zip | 49221-4366
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Country | US
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Telephone | 517-263-0603
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Fax | 517-266-9272
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Authorized Official
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Title or Position | C.E.O.
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Name | JOHN T STANDLEY
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Credential |
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Telephone | 800-748-3243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302036079
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License Number State | MI
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