Rite Aid Pharmacy 11536
LBN: Edc Drug Stores
Rite Aid Pharmacy 11536 is an health care organization with primary practice located at 380 Western Boulevard , Jacksonville NC 28546-6347. 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.
Edc Drug Stores can be contacted via phone (910) 353-3424, or through Zorek, Jennifer via phone (717) 975-5937.
Contact Information
Primary practice address
380 Western Boulevard
Jacksonville NC 28546-6347
Phone: (910) 353-3424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8678 | North Carolina |
Profile Details
| NPI number | 1992804116 |
|---|---|
| LBN Legal business name | Edc Drug Stores |
| DBA Doing business as | Rite Aid Pharmacy 11536 |
| Authorized official | Zorek, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Mar 25th, 2015 - about 10 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 | 1992804116 | NPPES |
| Other | 3418921 | NCPDP | |
| MEDICAID | 0675553 | NCPDP | |
| Other | 7702459 | NCPDP |
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