National Provider Identifier Database

GREAT ATLANTIC PACIFIC TEA COMPANY INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

GREAT ATLANTIC & PACIFIC TEA COMPANY INC
530 RTE 515
VERNON TOWNSHIP, NJ07462
Phone: 973-764-5380
Fax: 973-764-5996
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for GREAT ATLANTIC & PACIFIC TEA COMPANY INC

NPI Number 1013077056
Legal business name
LBN
GREAT ATLANTIC & PACIFIC TEA COMPANY INC
Authorized official SUSAN KIJOWSKI - (MANAGER, REGULATORY COMPLIANCE)
Entity Organization
Organization subpart No
Enumeration date 12/11/2006
Last updated 10/10/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 06084
  • NJ Medicaid: 8864306
  • Other: 3144083 OTHER ID NUMBER-COMMERCIAL NUMBER
  • NJ Other: 864314 MEDICAID DME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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