Rite Aid Pharmacy 04791

LBN: Rite Aid Of Pennsylvania Llc
Rite Aid Pharmacy 04791 is an health care organization with primary practice located at 2023 Lycoming Creek Road , Williamsport PA 17701-1206. 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) 327-9920, or through Zorek, Jennifer via phone (717) 975-5937.

Contact Information

Primary practice address
2023 Lycoming Creek Road Williamsport PA 17701-1206
Phone: (570) 327-9920
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 PP414514L Pennsylvania

Profile Details

NPI number 1306936323
LBN Legal business name Rite Aid Of Pennsylvania Llc
DBA Doing business as Rite Aid Pharmacy 04791
Authorized official Zorek, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 24th, 2020 - about 6 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 1306936323 NPPES
Pennsylvania Other 1007292981075 MEDICAID DME
Pennsylvania Other 3972773 MEDICAID DME
Pennsylvania MEDICAID 1007292981075 MEDICAID DME

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