Rite Aid

NPI #1093035644 in Encino, California

Provider Information

NPI Number: 1093035644
Entity Type: Organization
Organization Name: Rite Aid
Primary Specialty: Pharmacist
Enumeration Date: Jun 7, 2010
Last Updated: Jun 7, 2010

Practice Location

Address: 15630 VENTURA BLVD
City: Encino
State: California
ZIP Code: 91436-3141
Phone: (818) 783-2449

Authorized Official

Name: DR. ABDOLREZA KOSSARIAN
Title: PHARM.D.
Phone: (818) 788-8730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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