OrganizationActive
Maxi Drug South Lp
NPI 1598864969 · Community/Retail Pharmacy · Providence, RI
Provider details
- NPI number
- 1598864969
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jennifer Zorek, Manager Online Adjudication(717) 975-5937
Specialties & taxonomies
Suppliers
Suppliers
Practice location
200 Academy Avenue
Providence, RI 02908-4453
Phone: (401) 521-4941
Approximate (ZIP-level) locationGet directions
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Other names (DBA / former)
- Doing business as
- Rite Aid Pharmacy 10253
Registry dates
- Enumerated
- 2006-09-22
- 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.