# GREAT ATLANTIC & PACIFIC TEA COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A & P PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194740654
- **Authorized official:** SUSAN KIJOWSKI (MANAGER, REGULATORY COMPLIANCE)
- **Authorized official phone:** (201) 571-8326

## Contact information

- **Practice address:** 2005 ALBANY POST RD, CROTON ON HUDSON, NY 10520-1573
- **Practice address phone:** (914) 271-0832
- **Practice address fax:** (914) 271-0993
- **Mailing address:** PO BOX 416369, BOSTON, MA 02241-6369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 025546 | NY | — |
| 333600000X | Pharmacy | 025546 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 12/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02354947 | — | NY |
| 01 | — | 023549470442 | MEDICAID DME | NY |
| 01 | — | 3328588 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |