THE 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.

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Contact Information

THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC

13 NORTH AVE
PLEASANT VALLEY, NY 12569

Phone: 845-635-1078
Fax: 845-635-1096
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 THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC

NPI Number 1831259894

LBN Legal business name THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC

Authorized official SUSAN KIJOWSKI - (PHARMACY SPECIALIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2006

Last updated 11/09/2007 - About 19 years ago

Identifiers

NY	License #	025532
NY	Medicaid	02358607
	Other	3328552	OTHER ID NUMBER-COMMERCIAL NUMBER
NY	Other	0235860442	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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THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC

Contact Information

Specialty

Pharmacy

Community/Retail Pharmacy

Durable Medical Equipment & Medical Supplies

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

Reviews for THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC