Rite Aid Pharmacy 04502

LBN: Perry Drug Stores Inc And Subsidiaries
Rite Aid Pharmacy 04502 is an health care organization with primary practice located at 211 West Lake Street , Tawas City MI 48763-9305. 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 (989) 362-3439, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
211 West Lake Street Tawas City MI 48763-9305
Phone: (989) 362-3439
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 0082 Michigan

Profile Details

NPI number 1417066937
LBN Legal business name Perry Drug Stores Inc And Subsidiaries
DBA Doing business as Rite Aid Pharmacy 04502
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 16th, 2009 - about 15 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 1417066937 NPPES
Other 2315314 OTHER ID NUMBER COMMERCIAL NUMBER
MEDICAID 2315314 OTHER ID NUMBER COMMERCIAL NUMBER

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