Rite Aid Pharmacy 04302

LBN: Perry Drug Stores Inc And Subsidiaries
Rite Aid Pharmacy 04302 is an health care organization with primary practice located at 1186 Baldwin Avenue , Pontiac MI 48340-1909. 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. Perry Drug Stores Inc And Subsidiaries can be contacted via phone (248) 333-7057, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
1186 Baldwin Avenue Pontiac MI 48340-1909
Phone: (248) 333-7057
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 759 Michigan

Profile Details

NPI number 1063521342
LBN Legal business name Perry Drug Stores Inc And Subsidiaries
DBA Doing business as Rite Aid Pharmacy 04302
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 4th, 2008 - about 16 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 1063521342 NPPES
Other 2303927 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 2303927 OTHER ID NUMBER-COMMERCIAL NUMBER

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