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General NPI Number Information
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NPI Number | 1568878569
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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 | 07/10/2014
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 22 NARROWS SHOPPING CENTER
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City | EDWARDSVILLE
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State | PA
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Zip | 18704-2518
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Country | US
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Telephone | 570-287-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 239 SULLIVAN ST
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City | EXETER
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State | PA
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Zip | 18643-2518
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Country | US
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Telephone | 570-606-1544
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | JENNIFER RICHARDS
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Credential |
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Telephone | 570-287-7350
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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 |
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License Number State |
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