Provider Demographics
NPI:1659572246
Name:THRIFTY PAYLESS INC
Entity Type:Organization
Organization Name:THRIFTY PAYLESS INC
Other - Org Name:RITE AID
Other - Org Type:Doing Business As
Authorized Official - Title/Position:IMMUNIZER PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:ARELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:951-301-0063
Mailing Address - Street 1:27350 SUN CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-5506
Mailing Address - Country:US
Mailing Address - Phone:951-301-0063
Mailing Address - Fax:
Practice Address - Street 1:27350 SUN CITY BLVD
Practice Address - Street 2:27350 SUN CITY BLVD
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-5506
Practice Address - Country:US
Practice Address - Phone:951-301-0063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH286953336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy