Rite Aid Pharmacy 04778
LBN: Rite Aid Of Connecticut Inc
Rite Aid Pharmacy 04778 is an health care organization with primary practice located at 588 Main Street , East Haven CT 06512-2001. 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.
Rite Aid Of Connecticut Inc can be contacted via phone (203) 469-7648, or through Zorek, Jennifer M via phone (717) 975-5937.
Contact Information
Primary practice address
588 Main Street
East Haven CT 06512-2001
Phone: (203) 469-7648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1644 | Connecticut |
Profile Details
| NPI number | 1023129277 |
|---|---|
| LBN Legal business name | Rite Aid Of Connecticut Inc |
| DBA Doing business as | Rite Aid Pharmacy 04778 |
| Authorized official | Zorek, Jennifer M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Nov 21st, 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 | 1023129277 | NPPES |
| Connecticut | Other | 004178621 | MEDICAID DME |
| Connecticut | Other | 0717299 | MEDICAID DME |
| Connecticut | MEDICAID | 004178613 | MEDICAID DME |
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