Provider Demographics
NPI:1790198307
Name:RITE AID CORP
Entity Type:Organization
Organization Name:RITE AID CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:OANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RUJAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:603-848-6998
Mailing Address - Street 1:50 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894
Mailing Address - Country:US
Mailing Address - Phone:603-569-3348
Mailing Address - Fax:503-569-3864
Practice Address - Street 1:6 HIGH ST
Practice Address - Street 2:APT A
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894
Practice Address - Country:US
Practice Address - Phone:603-569-3348
Practice Address - Fax:503-569-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3719261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health