Provider Demographics
NPI:1992181937
Name:RITE AID CORPORATION
Entity Type:Organization
Organization Name:RITE AID CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCKEVITT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:845-705-4029
Mailing Address - Street 1:190 WAKEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-1304
Mailing Address - Country:US
Mailing Address - Phone:603-332-3800
Mailing Address - Fax:
Practice Address - Street 1:190 WAKEFIELD ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-1304
Practice Address - Country:US
Practice Address - Phone:603-332-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH40573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy