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NPI Code Detail

MEDICARE: ECKERD CORPORATION

MEDICARE: ECKERD CORPORATION
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 Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies024023NY
3333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13344859OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245330695
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECKERD CORPORATION
Provider Business Mailing Address
First Line : 200 NEWBERRY COMMONS
Second Line :
City : ETTERS
State : PA
Zip : 17319-9363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2430 WATT STREET
Second Line :
City : SCHENECTADY
State : NY
Zip : 12304
Country : US
Telephone Number : 518-377-8893
Fax Number : 518-346-8739
Authorized Official
Title or Position : MANAGER ONLINE ADJUDICATION
Name : JENNIFER ZOREK
Credential :
Telephone Number : 717-975-5937
Provider Enumeration Date : 09/25/2006
Last Update Date : 09/11/2025

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Directions to “ECKERD CORPORATION ” Practice Location

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