Rite Aid Pharmacy 03619

LBN: Rite Aid Of Connecticut Inc
Rite Aid Pharmacy 03619 is an health care organization with primary practice located at 1060 East Main Street , Bridgeport CT 06608-1915. 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) 382-0009, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
1060 East Main Street Bridgeport CT 06608-1915
Phone: (203) 382-0009
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 1540 Connecticut

Profile Details

NPI number 1194834473
LBN Legal business name Rite Aid Of Connecticut Inc
DBA Doing business as Rite Aid Pharmacy 03619
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194834473 NPPES
Connecticut Other 004140141 MEDICAID DME
Connecticut MEDICAID 004140109 MEDICAID DME
Connecticut Other 0716362 MEDICAID DME

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