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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
13336C0003XCommunity/Retail Pharmacy03234059OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103234059OTHEROHOHIO BOARD OF PHARMACY

General Provider Information

NPI Number : 1326447384
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID
Provider Business Mailing Address
First Line : 2532 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-2019
Country : US
Telephone Number : 937-258-8101
Fax Number :
Provider Business Practice Location Address
First Line : 2532 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-2019
Country : US
Telephone Number : 937-258-8101
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : ANTHONY FRITZ
Credential : PHARMD
Telephone Number : 937-258-8101
Provider Enumeration Date : 08/15/2014
Last Update Date : 08/15/2014

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Directions to “RITE AID ” Practice Location

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