Rite Aid Pharmacy 11062

LBN: Eckerd Corporation
Rite Aid Pharmacy 11062 is an health care organization with primary practice located at 3382 Route 940 , Mount Pocono PA 18344-1151. 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) 839-3797, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
3382 Route 940 Mount Pocono PA 18344-1151
Phone: (570) 839-3797
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zorek, Jennifer
Phone: (717) 975-5937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP414319L Pennsylvania

Profile Details

NPI number 1457450611
LBN Legal business name Eckerd Corporation
DBA Doing business as Rite Aid Pharmacy 11062
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Dec 23rd, 2011 - about 14 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 1457450611 NPPES
Other 3960110 OTHER ID NUMBER
Other 1007308150260 OTHER ID NUMBER
MEDICAID 1007308150260 OTHER ID NUMBER

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