Organization
A&P LIVE BETTER, LLC
Active
Parent organization
THE GREAT ATLANTIC & PACIFIC TEA CO INC
Other names
PATHMARK PHARMACY
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
4365 KIRKWOOD HWY, WILMINGTON, DE 19808-5113
(302) 995-2291
(302) 892-9176
Mailing address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(201) 573-9700
(201) 571-8335
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
A3-0000878
DE
3336C0003X
Community/Retail Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000118007
—
DE
01
—
0801971
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
03/28/2013
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