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PERRY DRUG STORES INC AND SUBSIDIARIES NPI 1235248758


NPI Information

NPI: 1235248758
Provider Name: PERRY DRUG STORES INC AND SUBSIDIARIES

Doing Business As: RITE AID PHARMACY 04505

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2176906

Address:
117 NORTH MISSION STREET
MT PLEASANT, MI
ZIP 48858
Phone: (989) 772-7677
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PERRY DRUG STORES INC AND SUBSIDIARIES is a community/retail pharmacy pharmacy in Mt Pleasant, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PERRY DRUG STORES INC AND SUBSIDIARIES NPI is 1235248758. The provider is registered as an organization entity type.
The provider Is Doing Business As Rite Aid Pharmacy 04505.

The provider's business location address is:

117 NORTH MISSION STREET
MT PLEASANT, MI
ZIP 48858-819
Phone: (989) 772-7677

The provider's authorized official is Jennifer Zorek .
The authorized official title is Manager Online Adjudication and has the following contact phone number (717) 975-5937.

The CLIA number assigned to this NPI record is 23D2176906 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy1605MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12321583MEDICAIDMICHIGAN
20P17250MEDICARE PINMICHIGAN
3P00460010MEDICARE PINMICHIGAN
42321583OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
50694660115MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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