NPI 1720197007 · live from the CMS NPI Registry
Rite Aid Of Delaware INC
Pharmacy, Community/Retail Pharmacy in Wilmington, DE. National Provider Identifier 1720197007, active.
NPI record
| NPI | 1720197007 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 636 South Maryland Avenue, Wilmington, DE 19804 |
| Practice phone | 302-994-3473 |
| Mailing address | 200 Newberry Commons, Etters, PA 17319 |
| Enumerated | August 30, 2006 |
| Last updated | January 29, 2010 |
| Authorized official | Jennifer Zorek, Manager Online Adjudication |
| Other names | Rite Aid Pharmacy 01294 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | A30000481 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.