Rite Aid Pharmacy 11064

LBN: Eckerd Corporation
Rite Aid Pharmacy 11064 is an health care organization with primary practice located at 791 Scranton Carbondale Highway , Eynon PA 18403-1021. 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 (570) 876-3788, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
791 Scranton Carbondale Highway Eynon PA 18403-1021
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 PP411744L Pennsylvania

Profile Details

NPI number 1164510582
LBN Legal business name Eckerd Corporation
DBA Doing business as Rite Aid Pharmacy 11064
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 22nd, 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 1164510582 NPPES
Pennsylvania MEDICAID 1007308150257
Pennsylvania Other 1007308150257
Pennsylvania Other 3947681

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