Provider Demographics
NPI:1316351893
Name:RITE AID CORPORATION
Entity type:Organization
Organization Name:RITE AID CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:STANDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-748-3243
Mailing Address - Street 1:1200 S MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-4366
Mailing Address - Country:US
Mailing Address - Phone:517-263-0603
Mailing Address - Fax:517-266-9272
Practice Address - Street 1:1200 S MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-4366
Practice Address - Country:US
Practice Address - Phone:517-263-0603
Practice Address - Fax:517-266-9272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty