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Contact Information

RITE AID OF PENNSYLVANIA LLC
3145 MAIN STREET
MORGANTOWN, PA19543
 Phone: 610-286-0920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for RITE AID OF PENNSYLVANIA LLC

NPI Number 1205009941
LBN Legal business name RITE AID OF PENNSYLVANIA LLC
Authorized official JENNIFER ZOREK - (MANAGER ONLINE ADJUDICATION)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2008
Last updated 08/19/2020 - About 6 years ago
Identifiers
PA Medicaid 1007292981140
Other 3990214 NCPDP
PA Other 1007292981140 DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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