Rite Aid Pharmacy 10717

LBN: Eckerd Corporation
Rite Aid Pharmacy 10717 is an health care organization with primary practice located at 124 Ridge Street , Glens Falls NY 12801. 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 (518) 792-0538, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
124 Ridge Street Glens Falls NY 12801
Fax:
Website:
Authorized official contact:
Name: Zorek, Jennifer

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 023906 New York

Profile Details

NPI number 1104926567
LBN Legal business name Eckerd Corporation
DBA Doing business as Rite Aid Pharmacy 10717
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104926567 NPPES
Other 3378127 OTHER ID NUMBER
MEDICAID 00809187 OTHER ID NUMBER

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