Rite Aid Pharmacy 10315

LBN: Maxi Green Inc
Rite Aid Pharmacy 10315 is an health care organization with primary practice located at 499 Canal Street Unit # 3, Brattleboro VT 05301. 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. Maxi Green Inc can be contacted via phone (802) 257-4204, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
499 Canal Street Unit # 3 Brattleboro VT 05301
Phone: (802) 257-4204
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zorek, Jennifer
Phone: (717) 975-5937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 380001860 Vermont

Profile Details

NPI number 1114933322
LBN Legal business name Maxi Green Inc
DBA Doing business as Rite Aid Pharmacy 10315
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Apr 11th, 2012 - 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 1114933322 NPPES
Other 4701860 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0006664 OTHER ID NUMBER-COMMERCIAL NUMBER

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