Organization · Type 2 NPI

Rite Aid of Pennsylvania LLC

Community/Retail Pharmacy · Philadelphia, PA

NPI number 1063502185 Active

Practice location

2801 West Dauphin Street, Strawberry Square
Philadelphia, PA 19132-3452

Call (215) 225-1912 Map

Mailing address

200 Newberry Commons
Etters, PA 17319-9363

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PP413884L (PA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1063502185
Entity type: Organization (Type 2)
Issued: Oct 13, 2006
Last updated: Mar 17, 2020
Status: Active

Other names

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Rite Aid Pharmacy 01767 · doing business as
Rite Aid Pharmacy 01767 · doing business as

Authorized official

Jennifer Zorek
Manager Online Adjudication
(717) 975-5937

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063502185

Rite Aid of Pennsylvania LLC's National Provider Identifier is 1063502185, issued on Oct 13, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 17, 2020.