A&P Pharmacy # 664
LBN: Great Atlantic & Pacific Tea Co., Inc.
A&P Pharmacy # 664 is an health care organization with primary practice located at 199 Kinderkamack Rd , Park Ridge NJ 07656-1335. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Great Atlantic & Pacific Tea Co., Inc. can be contacted via phone (201) 391-3232, or through Kijowski, Susan D via phone (201) 571-8326.
Contact Information
Primary practice address
199 Kinderkamack Rd
Park Ridge NJ 07656-1335
Phone: (201) 391-3232
Fax: (201) 930-9672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 06692 | New Jersey |
| Suppliers / Pharmacy | 333600000X | 06692 | New Jersey |
Profile Details
| NPI number | 1104942259 |
|---|---|
| LBN Legal business name | Great Atlantic & Pacific Tea Co., Inc. |
| DBA Doing business as | A&P Pharmacy # 664 |
| Authorized official | Kijowski, Susan D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Oct 10th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104942259 | NPPES |
| New Jersey | MEDICAID | 8186804 | |
| New Jersey | Other | 3194204 | |
| New Jersey | Other | 8186812 |
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