Provider Demographics
NPI:1265885172
Name:RITE AID
Entity type:Organization
Organization Name:RITE AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAGHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULNOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-773-1613
Mailing Address - Street 1:1500 LOCUST ST
Mailing Address - Street 2:APT1415
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-4329
Mailing Address - Country:US
Mailing Address - Phone:248-773-1613
Mailing Address - Fax:
Practice Address - Street 1:2000 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3814
Practice Address - Country:US
Practice Address - Phone:215-567-2017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty