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PERRY DRUG STORES INC AND SUBSIDIARIES NPI 1871602391


NPI Information

NPI: 1871602391
Provider Name: PERRY DRUG STORES INC AND SUBSIDIARIES

Doing Business As: RITE AID PHARMACY 04487

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2186347

Address:
3050 UNION LAKE ROAD
COMMERCE TOWNSHIP, MI
ZIP 48382
Phone: (248) 363-4392
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PERRY DRUG STORES INC AND SUBSIDIARIES is a community/retail pharmacy pharmacy in Commerce Township, 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 1871602391. The provider is registered as an organization entity type.
The provider Is Doing Business As Rite Aid Pharmacy 04487.

The provider's business location address is:

3050 UNION LAKE ROAD
COMMERCE TOWNSHIP, MI
ZIP 48382-509
Phone: (248) 363-4392

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

The CLIA number assigned to this NPI record is 23D2186347 - 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 7/16/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy3405MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12327662MEDICAIDMICHIGAN
20694660164MEDICARE NSC
3P00460010MEDICARE PINMICHIGAN
40P17240MEDICARE PINMICHIGAN
52327662OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
60694660056MEDICARE 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: 5/5/2024

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