Rite Aid Pharmacy 10249
LBN: Maxi Drug South Lp
Rite Aid Pharmacy 10249 is an health care organization with primary practice located at 456 Branch Avenue , Providence RI 02904-2205. 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 South Lp can be contacted via phone (401) 331-3554, or through Zorek, Jennifer via phone (717) 975-5937.
Contact Information
Primary practice address
456 Branch Avenue
Providence RI 02904-2205
Phone: (401) 331-3554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHA00330 | Rhode Island |
Profile Details
| NPI number | 1386744712 |
|---|---|
| LBN Legal business name | Maxi Drug South Lp |
| DBA Doing business as | Rite Aid Pharmacy 10249 |
| Authorized official | Zorek, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Dec 13th, 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 | 1386744712 | NPPES |
| Other | 4105981 | OTHER ID NUMBER | |
| MEDICAID | MD29637 | OTHER ID NUMBER |
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