Provider Demographics
NPI:1669782843
Name:RITE AID CORP
Entity type:Organization
Organization Name:RITE AID CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:GERCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-622-3225
Mailing Address - Street 1:113 E BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-1603
Mailing Address - Country:US
Mailing Address - Phone:610-622-3225
Mailing Address - Fax:
Practice Address - Street 1:113 E BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018-1603
Practice Address - Country:US
Practice Address - Phone:610-622-3225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI003017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty