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General NPI Number Information
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NPI Number | 1952854903
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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 | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 412 ANGELL ST APARTMENT 2
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City | PROVIDENCE
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State | RI
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Zip | 02906-4013
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Country | US
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Telephone | 516-498-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 412 ANGELL ST APARTMENT 2
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City | PROVIDENCE
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State | RI
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Zip | 02906-4013
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Country | US
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Telephone | 516-498-7999
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. ROBERT JOSEPH FINKE
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Credential | PHARM. D
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Telephone | 516-498-7999
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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 | RPH05599
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License Number State | RI
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