Provider Demographics
NPI:1669291902
Name:RIGHT AID PHARMACY LLC
Entity type:Organization
Organization Name:RIGHT AID PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GANESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-906-1476
Mailing Address - Street 1:1504 CASS AVENUE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-8741
Mailing Address - Country:US
Mailing Address - Phone:989-391-9003
Mailing Address - Fax:989-391-9008
Practice Address - Street 1:1504 CASS AVENUE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-8741
Practice Address - Country:US
Practice Address - Phone:989-391-9003
Practice Address - Fax:989-391-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy