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NPI Code Detail

MEDICARE: RITE AID OF MICHIGAN INC

MEDICARE: RITE AID OF MICHIGAN INC
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
1332B00000XDurable Medical Equipment & Medical Supplies5301003975MI
23336C0003XCommunity/Retail Pharmacy5301003975MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12336635OTHERMINCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740290519
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID OF MICHIGAN INC
Provider Business Mailing Address
First Line : 200 NEWBERRY COMMONS
Second Line :
City : ETTERS
State : PA
Zip : 17319-9363
Country : US
Telephone Number : 717-761-2633
Fax Number : 717-975-8659
Provider Business Practice Location Address
First Line : 3050 BAY ROAD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2415
Country : US
Telephone Number : 989-792-9606
Fax Number :
Authorized Official
Title or Position : MANAGER ONLINE ADJUDICATION
Name : JENNIFER M ZOREK
Credential :
Telephone Number : 717-975-5937
Provider Enumeration Date : 08/08/2006
Last Update Date : 12/05/2008

Similar Medicare Providers

1780711572 — JEFFREY BRYAN ZIEL R.PH.
Practice Location Address:
3050 BAY RD
SAGINAW, MI
48603-2415
Practice Phone: 989-792-9606
Practice Fax: 989-792-0760
1639469810 — MR. VASANT K MENON
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1417317272 — JUSTIN HEDRICH
Practice Location Address:
3050 BAY RD
SAGINAW, MI
48603-2415
Practice Phone: 989-792-9606
Practice Fax:
1689021495 — DR. KWAKU ANINAGYEI YEBOAH
Practice Location Address:
3050 BAY RD
SAGINAW, MI
48603-2415
Practice Phone: 989-792-9606
Practice Fax:
1750050100 — DENISE CUMMINGS
Practice Location Address:
3050 BAY RD
SAGINAW, MI
48603-2415
Practice Phone: 989-792-9606
Practice Fax:
1104867209 — DR. RICHARD JAMES NEUENFELDT O.D.
Practice Location Address:
12830 S SAGINAW ST , SUITE C
GRAND BLANC, MI
48439-2415
Practice Phone: 810-695-3500
Practice Fax: 810-695-3502

Directions to “RITE AID OF MICHIGAN INC ” Practice Location

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