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.

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Contact Information

GREAT ATLANTIC & PACIFIC TEA COMPANY INC

152 RTE 94
BLAIRSTOWN, NJ 07825

Phone: 908-362-9388
Fax: 908-362-9372
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

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

NPI # 1134144793

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 07/13/2006

Last updated 10/10/2011 - About 15 years ago

Identifiers

NJ	License #	05371
NJ	Medicaid	7078501
	Other	3138268	OTHER ID NUMBER-COMMERCIAL NUMBER
NJ	Other	7078510	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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