institution
Great Atlantic & Pacific Tea Co., Inc.
Pharmacy in West New York, New Jersey
NPI 1356566749

Great Atlantic & Pacific Tea Co., Inc. is a Pharmacy based in Boston, NJ. Great Atlantic & Pacific Tea Co., Inc. practices in West New York, NJ. The NPI Number for Great Atlantic & Pacific Tea Co., Inc. is 1356566749 and holds a License No. 06687 (New Jersey).

The current practice location address for Great Atlantic & Pacific Tea Co., Inc. is 19 Ave At Port Imperial, West New York, NJ and can be reached out via phone at 201-272-1171 and via fax at 201-867-1976.

Location: 19 Ave At Port Imperial, West New York, NJ, 02241-6369
institution
Provider Profile Details
NPI Number
1356566749
Provider Name
Great Atlantic & Pacific Tea Co., Inc.
Credential
Provider Entity Type
Organization
Address
19 Ave At Port Imperial, West New York, NJ, 02241-6369
Phone Number
201-272-1171
Fax Number
201-867-1976
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0138382 05 NJ
06687 01 NJ STATE LICENSE
3194278 01 NJ NCPDP #
institution
Provider Business Practice Location Address Details
Address
19 Ave At Port Imperial
City
State
Zip
07093
Phone Number
201-272-1171
Fax Number
201-867-1976
person
Provider Business Mailing Address Details
Address
19 Ave At Port Imperial
City
State
Zip
07093
Phone Number
201-272-1171
Fax Number
201-867-1976
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
06687 (New Jersey)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
06687 (New Jersey)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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