Organization Name: | RITE AID PHARMACY |
NPI Number: | 1013373638 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA OHANIAN (PHARMACIST) |
Mailing Address: | 199 N Fairview Ave Goleta |
State: | CA US |
Postal Code: | 931172304 |
Phone Number: | 8059649892 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | PHY42635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |