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General NPI Number Information
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NPI Number | 1841606126
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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 | 07/07/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 3349 MONROE AVE
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City | ROCHESTER
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State | NY
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Zip | 14618-5513
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Country | US
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Telephone | 585-383-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 MONROE AVE
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City | ROCHESTER
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State | NY
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Zip | 14618-5513
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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 | BRIAN RAGNE
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Credential | PHARMD
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Telephone | 585-957-2290
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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 | 059256
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License Number State | NY
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