Organization
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Active
Organization
THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Active
Other names
SUPER FRESH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIJOWSKI (PHARMACY SPECIALIST)
(201) 571-8326
Entity
Organization
Contact information
Practice address
2401 CLEANLEIGH DR, BALTIMORE, MD 21234-6808
(410) 663-9602
(410) 663-9608
Mailing address
PO BOX 23069, NEWARK, NJ 07189-0001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P01966
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120892
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
09/11/2025
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