Rite Aid

NPI #1295124410 in Fortuna, California

Provider Information

NPI Number: 1295124410
Entity Type: Organization
Organization Name: Rite Aid
Primary Specialty: Pharmacist
Enumeration Date: Jan 12, 2015
Last Updated: Jan 12, 2015

Practice Location

Address: 725 S FORTUNA BLVD
City: Fortuna
State: California
ZIP Code: 95540-3034
Phone: (707) 725-9314

Authorized Official

Name: MRS. MARIANA VAN DER MERWE, B PHARM
Title: PHARMACY MANAGER
Phone: (707) 725-9314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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