Payless Drug Stores Northwest Inc
Organization Active NPI Community/Retail Pharmacy · Etters, PA
NPI 1104004159 · NPPES record last updated Feb 1, 2008
Key facts
- NPI
- 1104004159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- PAYLESS DRUG STORES NORTHWEST INC
- Practice address
- 200 Newberry Commons
Etters, PA 17319-9363 - Phone
- (717) 761-2633
- Fax
- (717) 975-8659
- NPI assigned
- Feb 1, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- PAYLESS DRUG STORES NORTHWEST INC
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Payless Drug Store 2893
- Part of
- Payless Drug Store 2893
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
200 Newberry Commons
Etters, PA 17319-9363
Mailing address
PO Box 371115
Pittsburgh, PA 15250-7115
Phone (717) 761-2633
Other names
- RITE AID CORPORATION
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All providers in Etters, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.