Rite Aid Pharmacy 06473

LBN: Thrifty Payless Inc
Rite Aid Pharmacy 06473 is an health care organization with primary practice located at 14515 Mojave Drive Suite B, Victorville CA 92394-6720. 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. Thrifty Payless Inc can be contacted via phone (760) 955-7898, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
14515 Mojave Drive Suite B Victorville CA 92394-6720
Fax:
Website:
Authorized official contact:
Name: Zorek, Jennifer

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY48263 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48263 California

Profile Details

NPI number 1205923562
LBN Legal business name Thrifty Payless Inc
DBA Doing business as Rite Aid Pharmacy 06473
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Oct 24th, 2011 - about 13 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 1205923562 NPPES
California Other 5623992 NCPDP
California MEDICAID PHA482630 NCPDP

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