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 1238 Putty Hill Ave , Towson MD 21286-5844. 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) 583-1626, or through Kijowski, Susan via phone (201) 571-8326.

Contact Information

Primary practice address
1238 Putty Hill Ave Towson MD 21286-5844
Phone: (410) 583-1626
Fax: (410) 583-1694
Website:
Map and Directions
Authorized official contact:
Name: Kijowski, Susan
Phone: (201) 571-8326

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P02405 Maryland
Suppliers / Pharmacy 333600000X P02405 Maryland
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1851316400
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 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851316400 NPPES
Other 2123583 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers