Rite Aid Pharmacy 04574
LBN: Rite Aid Of Michigan Inc
Rite Aid Pharmacy 04574 is an health care organization with primary practice located at 2910 Pine Grove Avenue , Port Huron MI 48060-1976. 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 Michigan Inc can be contacted via phone (810) 987-3663, or through Zorek, Jennifer via phone (717) 975-5937.
Contact Information
Primary practice address
2910 Pine Grove Avenue
Port Huron MI 48060-1976
Phone: (810) 987-3663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5390 | Michigan |
Profile Details
| NPI number | 1679585376 |
|---|---|
| LBN Legal business name | Rite Aid Of Michigan Inc |
| DBA Doing business as | Rite Aid Pharmacy 04574 |
| Authorized official | Zorek, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Apr 17th, 2009 - 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 | 1679585376 | NPPES |
| Other | 2347018 | OTHER ID NUMBER | |
| MEDICAID | 2347018 | OTHER ID NUMBER |
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