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NPI Code Detail

MEDICARE: RITE AID PHARMACY

MEDICARE: RITE AID PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy28RI01778900NJ

General Provider Information

NPI Number : 1215385547
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID PHARMACY
Provider Business Mailing Address
First Line : 716 E GRIST MILL WAY
Second Line :
City : GALLOWAY
State : NJ
Zip : 08205-3013
Country : US
Telephone Number : 609-513-0400
Fax Number :
Provider Business Practice Location Address
First Line : 907 HIGH ST N
Second Line :
City : MILLVILLE
State : NJ
Zip : 08332-3762
Country : US
Telephone Number : 856-825-7742
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : MR. GARY JOSEPH SKROSKI
Credential : RPH
Telephone Number : 609-513-0400
Provider Enumeration Date : 05/26/2016
Last Update Date : 05/26/2016

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