Rite Aid

NPI #1114392768 in Rogers City, Michigan

Provider Information

NPI Number: 1114392768
Entity Type: Organization
Organization Name: Rite Aid
Primary Specialty: Pharmacist
Enumeration Date: Dec 8, 2015
Last Updated: Dec 8, 2015

Practice Location

Address: 110 S BRADLEY HWY
City: Rogers City
State: Michigan
ZIP Code: 49779-2123
Phone: (989) 734-7392

Authorized Official

Name: DR. SCOTT GERALD POLIVKA
Title: PHARMACIST
Phone: (330) 241-8524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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