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General NPI Number Information
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NPI Number | 1437565249
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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 | 07/01/2014
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 16207 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-3784
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Country | US
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Telephone | 216-521-8826
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Fax |
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Provider Business Mailing Address
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Address Line | 16860 WALNUT CREEK DR
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City | STRONGSVILLE
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State | OH
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Zip | 44149-5750
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Country | US
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Telephone | 440-610-2799
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Fax |
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Authorized Official
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Title or Position | DISTRICT MANAGER ASSISTANT
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Name | DENISE ULLMAN
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Credential |
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Telephone | 216-321-1472
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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 | 03233148-2
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License Number State | OH
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