Rite Aid Pharmacy 04500
LBN: Perry Drug Stores Inc And Subsidiaries
Rite Aid Pharmacy 04500 is an health care organization with primary practice located at 25100 Harper Avenue , Saint Clair Shores MI 48081-2207. 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 (586) 445-8181, or through Zorek, Jennifer via phone (717) 975-5937.
Contact Information
Primary practice address
25100 Harper Avenue
Saint Clair Shores MI 48081-2207
Phone: (586) 445-8181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5952 | Michigan |
Profile Details
| NPI number | 1104935667 |
|---|---|
| LBN Legal business name | Perry Drug Stores Inc And Subsidiaries |
| DBA Doing business as | Rite Aid Pharmacy 04500 |
| Authorized official | Zorek, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Oct 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104935667 | NPPES |
| Michigan | MEDICAID | 2352069 | |
| Michigan | Other | 2352069 |
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