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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
1183500000XPharmacist0202212333VA

General Provider Information

NPI Number : 1548666753
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID PHARMACY
Provider Business Mailing Address
First Line : 2220 FAIRFAX DR APT 508
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-6631
Country : US
Telephone Number : 703-623-8485
Fax Number :
Provider Business Practice Location Address
First Line : 2220 FAIRFAX DR APT 508
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-6631
Country : US
Telephone Number : 703-623-8485
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOHN STANDLEY
Credential :
Telephone Number : 804-955-8655
Provider Enumeration Date : 11/16/2014
Last Update Date : 11/16/2014

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Directions to “RITE AID PHARMACY ” Practice Location

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