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:
Map and Directions
Authorized official contact:
Name: Kijowski, Susan D
Phone: (201) 571-8326

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104942259 NPPES
New Jersey MEDICAID 8186804
New Jersey Other 3194204
New Jersey Other 8186812

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