Rite Aid Pharmacy 04990
LBN: Rite Aid Of Pennsylvania Llc
Rite Aid Pharmacy 04990 is an health care organization with primary practice located at 2 Kirby Avenue , Mountain Top PA 18707-1213. 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 Pennsylvania Llc can be contacted via phone (570) 403-1132, or through Zorek, Jennifer via phone (717) 975-5937.
Contact Information
Primary practice address
2 Kirby Avenue
Mountain Top PA 18707-1213
Phone: (570) 403-1132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP415448L | Pennsylvania |
Profile Details
| NPI number | 1679662332 |
|---|---|
| LBN Legal business name | Rite Aid Of Pennsylvania Llc |
| DBA Doing business as | Rite Aid Pharmacy 04990 |
| Authorized official | Zorek, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 17th, 2020 - about 4 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 | 1679662332 | NPPES |
| Pennsylvania | Other | 1007292980182 | MEDICAID DME |
| Pennsylvania | MEDICAID | 1007292980182 | MEDICAID DME |
| Pennsylvania | Other | 3975046 | MEDICAID DME |
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