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General NPI Number Information
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NPI Number | 1326447384
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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 | 08/15/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 2532 E 3RD ST
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City | DAYTON
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State | OH
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Zip | 45403-2019
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Country | US
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Telephone | 937-258-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 2532 E 3RD ST
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City | DAYTON
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State | OH
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Zip | 45403-2019
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Country | US
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Telephone | 937-258-8101
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | ANTHONY FRITZ
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Credential | PHARMD
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Telephone | 937-258-8101
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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 | 03234059
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License Number State | OH
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