Super Fresh Pharmacy
LBN: The Great Atlantic And Pacific Tea Company Inc
Super Fresh Pharmacy is an health care organization with primary practice located at 3301 N Ridge Rd , Ellicott City MD 21043-7522. 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.
The Great Atlantic And Pacific Tea Company Inc can be contacted via phone (410) 480-3817, or through Kijowski, Susan via phone (201) 571-8326.
Contact Information
Primary practice address
3301 N Ridge Rd
Ellicott City MD 21043-7522
Phone: (410) 480-3817
Fax: (410) 480-3835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | P02294 | Maryland |
| Suppliers / Pharmacy | 333600000X | P02294 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1124043773 |
|---|---|
| LBN Legal business name | The Great Atlantic And Pacific Tea Company Inc |
| DBA Doing business as | Super Fresh Pharmacy |
| Authorized official | Kijowski, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 23rd, 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 | 1124043773 | NPPES |
| Other | 2122884 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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