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NPI Code Detail

MEDICARE: RITE AID

MEDICARE: RITE AID
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
1183500000XPharmacistRP448136PA

General Provider Information

NPI Number : 1306259288
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID
Provider Business Mailing Address
First Line : 8130 ROOSEVELT BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2911
Country : US
Telephone Number : 609-923-7620
Fax Number :
Provider Business Practice Location Address
First Line : 8130 ROOSEVELT BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2911
Country : US
Telephone Number : 609-923-7620
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : SARRA ANZABI
Credential :
Telephone Number : 609-923-7620
Provider Enumeration Date : 06/09/2014
Last Update Date : 06/09/2014

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Directions to “RITE AID ” Practice Location

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