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General NPI Number Information
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NPI Number | 1548677115
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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 | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 2302 SHEFFIELD RD
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City | ALIQUIPPA
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State | PA
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Zip | 15001-2302
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Country | US
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Telephone | 724-375-5558
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Fax | 724-857-3080
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Provider Business Mailing Address
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Address Line | 2302 SHEFFIELD RD
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City | ALIQUIPPA
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State | PA
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Zip | 15001-2302
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Country | US
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Telephone | 724-375-5558
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Fax | 724-857-3080
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. JUSTIN E PROTIN
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Credential | RP044319L
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Telephone | 724-263-2556
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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 | RP044319L
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License Number State | PA
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