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Contact Information

RITE AID OF PENNSYLVANIA LLC
94 JUNE DRIVE
ROARING SPRING, PA16673
 Phone: 814-224-5553
 Fax: 814-224-5827
 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 # 1720489081
LBN Legal business name RITE AID OF PENNSYLVANIA LLC
Authorized official JENNIFER ZOREK - (SR MANAGER PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2014
Last updated 08/19/2020 - About 6 years ago
Identifiers
PA Medicaid 1007292981174
PA Other 6001022 NCPDP
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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