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
1060 RARITAN RD, CLARK, NJ 07066-1313
(732) 943-3304
(732) 396-1790
Mailing address
PO BOX 416369, BOSTON, MA 02241-6369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS00665900
NJ
333600000X
Pharmacy
Primary
RS00665900
NJ
3336C0003X
Community/Retail Pharmacy
RS00665900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119792
—
NJ
01
—
3194026
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/11/2006
Last updated
10/11/2011
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