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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 Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

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

NPI Number 1013077056
LBN Legal business name GREAT ATLANTIC & PACIFIC TEA COMPANY INC
Authorized official SUSAN KIJOWSKI - (MANAGER, REGULATORY COMPLIANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 10/10/2011 - About 15 years ago
Identifiers
NJ License # 06084
NJ Medicaid 8864306
Other 3144083 OTHER ID NUMBER-COMMERCIAL NUMBER
NJ Other 864314 MEDICAID DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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