Organization
SUPER FRESH FOOD MARKETS INC
Active
Parent organization
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Other names
SUPER FRESH PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Authorized official
SUSAN KIJOWSKI (PHARMACY SPECIALIST)
(201) 571-8326
Entity
Organization
Contact information
Practice address
700 PLAZA DR, NEWARK, DE 19702-6370
(302) 453-4480
(302) 453-9928
Mailing address
700 PLAZA DR, NEWARK, DE 19702-6370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
A30000686
DE
333600000X
Pharmacy
Primary
A30000686
DE
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803824
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
11/18/2007
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