Rite Aid Pharmacy 10339
LBN: Maxi Drug Inc
Rite Aid Pharmacy 10339 is an health care organization with primary practice located at 385 West Main Street , Avon CT 06001-3644. 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.
Maxi Drug Inc can be contacted via phone (860) 674-0027, or through Zorek, Jennifer M via phone (717) 975-5937.
Contact Information
Primary practice address
385 West Main Street
Avon CT 06001-3644
Phone: (860) 674-0027
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1405 | Connecticut |
Profile Details
| NPI number | 1619076981 |
|---|---|
| LBN Legal business name | Maxi Drug Inc |
| DBA Doing business as | Rite Aid Pharmacy 10339 |
| Authorized official | Zorek, Jennifer M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Feb 13th, 2012 - about 12 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 | 1619076981 | NPPES |
| Other | 0715586 | NCPDP | |
| Other | 004244779 | NCPDP | |
| MEDICAID | 004136653 | NCPDP |
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