Organization Name:  RITE AID OF MAINE INC


Practice Location:
19 PORTLAND ROAD  BRIDGTON, ME 04009 US
Tel: 207-647-3445  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	332B00000X	Suppliers Durable Medical Equipment & Medical Supplies
Y	3336C0003X	Suppliers Pharmacy	ME	840

Other Provider Identifiers:

Issuer	Number	State	Type
OTHER ID NUMBER	2005824		01
	999010232	ME	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin