Rite Aid Pharmacy 11439
LBN: Eckerd Corporation
Rite Aid Pharmacy 11439 is an health care organization with primary practice located at 520 East Trade Street , Dallas NC 28034-1755. 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) 922-8011, or through Zorek, Jennifer M via phone (717) 975-5937.
Contact Information
Primary practice address
520 East Trade Street
Dallas NC 28034-1755
Phone: (704) 922-8011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8618 | North Carolina |
Profile Details
| NPI number | 1457450686 |
|---|---|
| LBN Legal business name | Eckerd Corporation |
| DBA Doing business as | Rite Aid Pharmacy 11439 |
| Authorized official | Zorek, Jennifer M |
| 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 | 1457450686 | NPPES |
| North Carolina | Other | 7702280 | MEDICAID DME |
| North Carolina | MEDICAID | 0366046 | MEDICAID DME |
| North Carolina | Other | 3421675 | MEDICAID DME |
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