Provider Demographics
NPI:1306168042
Name:RITE AID CORP.
Entity type:Organization
Organization Name:RITE AID CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DEVELOPMENT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-586-8616
Mailing Address - Street 1:248 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1439
Mailing Address - Country:US
Mailing Address - Phone:585-349-3428
Mailing Address - Fax:
Practice Address - Street 1:4374 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:NORTH CHILI
Practice Address - State:NY
Practice Address - Zip Code:14514-1259
Practice Address - Country:US
Practice Address - Phone:585-594-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0439083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy