Organization
GREAT ATLANTIC & PACIFIC TEA COMPANY INC
Active
Other names
A & P PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIJOWSKI (MANAGER, REGULATORY COMPLIANCE)
(201) 571-8326
Entity
Organization
Contact information
Practice address
100 TRIANGLE CTR, SAW MILL RIVER RD, YORKTOWN HEIGHTS, NY 10598-4134
(914) 962-0534
(914) 243-9298
Mailing address
PO BOX 41639, BOSTON, MA 02241-6369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
021132
NY
333600000X
Pharmacy
Primary
021132
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01271989
—
NY
01
—
3399828
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/26/2006
Last updated
10/06/2011
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