Great Atlantic & Pacific Tea Company INC
Pharmacy in Clark, NJ. Organization (NPI-2).
NPI number1861552002
StatusActive
Last updated in NPPESOct 11, 2011
Details
- NPI
- 1861552002
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Atlantic & Pacific Tea Company INC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- Oct 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | RS00665900 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | RS00665900 | NJ | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | RS00665900 | NJ |
Other names
- A & P Pharmacy (Doing Business As)
Practice location
1060 Raritan RdClark, NJ 07066-1313
Phone 732-943-3304 · Fax 732-396-1790
Mailing address
Po Box 416369Boston, MA 02241-6369
Authorized official
Susan Kijowski
Manager, Regulatory Compliance
2015718326
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