Provider Demographics
NPI:1740644962
Name:RITE AID
Entity type:Organization
Organization Name:RITE AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JUN
Authorized Official - Middle Name:
Authorized Official - Last Name:YE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:207-404-0111
Mailing Address - Street 1:3 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04443-6300
Mailing Address - Country:US
Mailing Address - Phone:207-876-2788
Mailing Address - Fax:207-876-2621
Practice Address - Street 1:3 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:ME
Practice Address - Zip Code:04443-6300
Practice Address - Country:US
Practice Address - Phone:207-876-2788
Practice Address - Fax:207-876-2621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR45368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty