Provider Demographics
NPI:1265751614
Name:RITE AID
Entity type:Organization
Organization Name:RITE AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IMMUNIZING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHAGIRDAR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:703-413-0525
Mailing Address - Street 1:1671 CRYSTAL SQUARE ARC
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3322
Mailing Address - Country:US
Mailing Address - Phone:703-413-0525
Mailing Address - Fax:703-413-4451
Practice Address - Street 1:1671 CRYSTAL SQUARE ARC
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3322
Practice Address - Country:US
Practice Address - Phone:703-413-0525
Practice Address - Fax:703-413-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207673333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy