Super Fresh Pharmacy

LBN: Super Fresh Food Markets Inc
Super Fresh Pharmacy is an health care organization with primary practice located at 709 S Broadway , Pennsville NJ 08070-9655. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Super Fresh Food Markets Inc can be contacted via phone (856) 935-7732, or through Kijowski, Susan via phone (201) 571-8326.

Contact Information

Primary practice address
709 S Broadway Pennsville NJ 08070-9655
Fax: (856) 935-4752
Website:
Authorized official contact:
Name: Kijowski, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 04869 New Jersey
Suppliers / Pharmacy 333600000X 04869 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1245255801
LBN Legal business name Super Fresh Food Markets Inc
DBA Doing business as Super Fresh Pharmacy
Authorized official Kijowski, Susan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2006
Last updated Nov 18th, 2007 - about 17 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 1245255801 NPPES
New Jersey MEDICAID 6118801
New Jersey Other 6118810
New Jersey Other 3135109

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