Great Atlantic & Pacific Tea Co., Inc.
NPI #1356566749 in West New York, New Jersey
Provider Information
- NPI Number
- 1356566749
- Entity Type
- Organization
- Organization Name
- Great Atlantic & Pacific Tea Co., Inc.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Oct 11, 2011
Practice Location
- Address
- 19 AVE AT PORT IMPERIAL
- City
- West New York
- State
- New Jersey
- ZIP Code
- 07093
- Phone
- (201) 272-1171
Authorized Official
- Name
- SUSAN D KIJOWSKI
- Title
- MANAGER, REGULATORY COMPLIANCE
- Phone
- (201) 571-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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