Organization Name: | RITE AID OF MAINE INC |
NPI Number: | 1295806388 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
Mailing Address: | 16 Peck Farm Road Winthrop |
State: | ME US |
Postal Code: | 043641565 |
Phone Number: | 2073772279 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |