National Provider Identifier Database

GREAT ATLANTIC AND 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 AND PACIFIC TEA COMPANY INC
125 FRANKLIN TURNPIKE
MAHWAH, NJ07430
Phone: 201-512-9332
Fax: 201-512-0149
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 AND PACIFIC TEA COMPANY INC

NPI Number 1235154899
Legal business name
LBN
GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Authorized official SUSAN KIJOWSKI - (MANAGER, REGULATORY COMPLIANCE)
Entity Organization
Organization subpart No
Enumeration date 07/13/2006
Last updated 10/10/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 05120
  • NJ Medicaid: 6511406
  • Other: 3136442 OTHER ID NUMBER-COMMERCIAL NUMBER
  • NJ Other: 6511414 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.

Reviews for GREAT ATLANTIC AND PACIFIC TEA COMPANY INC

There are currently no reviews for GREAT ATLANTIC AND PACIFIC TEA COMPANY INC


NPIdb - Home
v2.201