Rite Aid Pharmacy 11452
LBN: Eckerd Corporation
Rite Aid Pharmacy 11452 is an health care organization with primary practice located at 15090 Idlewild Road , Matthews NC 28104-3653. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Eckerd Corporation can be contacted via phone (704) 882-4051, or through Zorek, Jennifer via phone (717) 975-5937.
Contact Information
Primary practice address
15090 Idlewild Road
Matthews NC 28104-3653
Phone: (704) 882-4051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8987 | North Carolina |
Profile Details
| NPI number | 1063511269 |
|---|---|
| LBN Legal business name | Eckerd Corporation |
| DBA Doing business as | Rite Aid Pharmacy 11452 |
| Authorized official | Zorek, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Aug 8th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063511269 | NPPES |
| Other | 3400900 | NCPDP | |
| Other | 7704268 | NCPDP | |
| MEDICAID | 0905547 | NCPDP |
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