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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
1183500000XPharmacist059256NY

General Provider Information

NPI Number : 1841606126
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITE AID
Provider Business Mailing Address
First Line : 3349 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-5513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3349 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-5513
Country : US
Telephone Number : 585-383-5650
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : BRIAN RAGNE
Credential : PHARMD
Telephone Number : 585-957-2290
Provider Enumeration Date : 07/07/2014
Last Update Date : 07/07/2014

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Directions to “RITE AID ” Practice Location

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