Provider Demographics
NPI:1639582703
Name:RITE AID
Entity Type:Organization
Organization Name:RITE AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:UROOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:AZHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-725-2831
Mailing Address - Street 1:443 UNION HILL RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1521
Mailing Address - Country:US
Mailing Address - Phone:732-725-2831
Mailing Address - Fax:
Practice Address - Street 1:6201 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-2033
Practice Address - Country:US
Practice Address - Phone:732-725-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448354183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty