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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
1183500000XPharmacist060671NY

General Provider Information

NPI Number : 1699141242
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID
Provider Business Mailing Address
First Line : 7114 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375
Country : US
Telephone Number : 718-575-1012
Fax Number :
Provider Business Practice Location Address
First Line : 7114 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4721
Country : US
Telephone Number : 718-575-1012
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : SIGRID HANNAH DE GUZMAN
Credential :
Telephone Number : 718-844-6883
Provider Enumeration Date : 08/18/2015
Last Update Date : 08/18/2015

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Directions to “RITE AID ” Practice Location

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