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
Phone: (856) 935-7732
Fax: (856) 935-4752
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245255801 | NPPES |
| New Jersey | MEDICAID | 6118801 | |
| New Jersey | Other | 6118810 | |
| New Jersey | Other | 3135109 |
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