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General NPI Number Information
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NPI Number | 1932516648
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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 | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 851 MOORE ST
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284-1238
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Country | US
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Telephone | 360-856-2153
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Fax |
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Provider Business Mailing Address
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Address Line | 1998 ZELL RD
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City | FERNDALE
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State | WA
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Zip | 98248-9763
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Country | US
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Telephone | 360-746-4708
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Fax |
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Authorized Official
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Title or Position | REGISTERED PHARMACIST
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Name | MISS JENNIFER NGUYEN
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Credential | PHARMD
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Telephone | 360-746-4708
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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 | PH60457541
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License Number State | WA
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