Organization
A&P LIVE BETTER, LLC
Active
Parent organization
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.
Other names
A AND P SUPERFOODMART 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
1 PADANARAM RD, DANBURY, CT 06811-4836
(203) 791-2356
(203) 791-2358
Mailing address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(201) 573-9700
(201) 571-8335
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01665
CT
333600000X
Pharmacy
Primary
01665
CT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004186517
MEDICAID DME
CT
05
—
004187276
—
CT
01
—
0717592
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
11/28/2012
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