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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 Pharmacy052681NY

General Provider Information

NPI Number : 1437472008
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID
Provider Business Mailing Address
First Line : 344 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 344 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5914
Country : US
Telephone Number : 718-375-8257
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : MS. MAYYA BRAGARNIK
Credential : PHARMD
Telephone Number : 718-375-8257
Provider Enumeration Date : 03/10/2010
Last Update Date : 03/10/2010

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Directions to “RITE AID ” Practice Location

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