Organization
WALDBAUM, INC.
Active
Parent organization
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.
Authorized official
SUSAN D KIJOWSKI (MANAGER, REGULATORY COMPLIANCE)
(201) 571-8326
Entity
Organization
Contact information
Practice address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(201) 571-8326
(201) 571-8106
Mailing address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(201) 571-8326
(201) 571-8106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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