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Organization
A&P LIVE BETTER LLC
Active
Organization
A&P LIVE BETTER LLC
Active
Parent organization
THE GREAT ATLANTIC & PACIFIC TEA CO INC
Other names
A & P PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GREAT ATLANTIC & PACIFIC TEA CO INC
Authorized official
SUSAN KIJOWSKI (MANAGER, REGULATORY COMPLIANCE)
(201) 571-8326
Entity
Organization
Contact information
Practice address
1515 ROUTE 22, BREWSTER, NY 10509-4042
(845) 278-5284
(845) 278-5287
Mailing address
PO BOX 416369, BOSTON, MA 02241-6369
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
031358
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01921888
—
NY
01
—
019218880442
MEDICAID DME
NY
01
—
3301784
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
05/10/2013
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