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General NPI Number Information
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NPI Number | 1508221656
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Entity Type | Organization
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Legal Business Name | RITEAID
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 217 HARLEY CT
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City | NORTH WALES
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State | PA
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Zip | 19454-1614
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Country | US
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Telephone | 267-808-5447
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Fax |
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Provider Business Mailing Address
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Address Line | 217 HARLEY CT
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City | NORTH WALES
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State | PA
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Zip | 19454-1614
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | EDWARD HONG
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Credential |
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Telephone | 267-808-5447
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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 | RP449913
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License Number State | PA
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