Rite Aid Pharmacy 00704

LBN: Rite Aid Of New York Inc
Rite Aid Pharmacy 00704 is an health care organization with primary practice located at 330 Pine Tree Road , Ithaca NY 14850-2819. 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 New York Inc can be contacted via phone (607) 273-2035, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
330 Pine Tree Road Ithaca NY 14850-2819
Fax:
Website:
Authorized official contact:
Name: Zorek, Jennifer

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 014611 New York

Profile Details

NPI number 1174632640
LBN Legal business name Rite Aid Of New York Inc
DBA Doing business as Rite Aid Pharmacy 00704
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 28th, 2011 - about 14 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 1174632640 NPPES
New York MEDICAID 00487870
New York Other 3316204

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