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Maxi Drug South Lp — NPI 1386744712, Providence, RI | NPI Central

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NPI 1386744712

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Maxi Drug South Lp

NPI 1386744712 · Community/Retail Pharmacy · Providence, RI

Provider details

NPI number: 1386744712
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Jennifer Zorek, Manager Online Adjudication(717) 975-5937

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense PHA00330 (RI)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

456 Branch Avenue

Providence, RI 02904-2205

Phone: (401) 331-3554

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

200 Newberry Commons

Etters, PA 17319-9363

Other names (DBA / former)

Doing business as: Rite Aid Pharmacy 10249

Registry dates

Enumerated: 2006-09-25
Last updated: 2011-12-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.