Rite Aid Pharmacy Store# 05786
NPI #1184016420 in Simi Valley, California
Provider Information
- NPI Number
- 1184016420
- Entity Type
- Organization
- Organization Name
- Rite Aid Pharmacy Store# 05786
- Primary Specialty
- Pharmacy
- Enumeration Date
- Feb 24, 2015
- Last Updated
- Feb 24, 2015
Practice Location
- Address
- 5845 E LOS ANGELES AVE
- City
- Simi Valley
- State
- California
- ZIP Code
- 93063-4256
- Phone
- (805) 522-2029
Authorized Official
- Name
- MR. SAMIR BASSILY DEIBO, PHARMACIST
- Title
- MANAGER
- Phone
- (805) 522-2029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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