Provider Demographics
NPI:1639278898
Name:THRIFT DRUG INC
Entity Type:Organization
Organization Name:THRIFT DRUG INC
Other - Org Name:ECKERD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-468-2840
Mailing Address - Street 1:50 SERVICE AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:133 E SWEDESFORD RD
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2334
Practice Address - Country:US
Practice Address - Phone:610-363-6445
Practice Address - Fax:610-363-6618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP 410713 L333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3959585OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA07287460047Medicaid
PA1188019Medicaid