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General NPI Number Information
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NPI Number | 1376954354
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Entity Type | Organization
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Legal Business Name | RITE AID PHARMACY
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 2916 LINDEN AVE
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City | DAYTON
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State | OH
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Zip | 45410-3027
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Country | US
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Telephone | 937-256-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 LINDEN AVE
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City | DAYTON
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State | OH
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Zip | 45410-3027
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Country | US
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Telephone | 937-256-3111
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Fax |
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Authorized Official
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Title or Position | PHARMACY DISTRICT MANAGER
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Name | JOHARI EVANS
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Credential |
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Telephone | 937-694-5522
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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 | 03223261-2
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License Number State | OH
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