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Great Atlantic & Pacific Tea Company Inc
Community/Retail Pharmacy in Pompton Lakes, New Jersey
NPI 1669497228

Great Atlantic & Pacific Tea Company Inc is a Community/Retail Pharmacy based in Boston, NJ and is specialized in Community/Retail Pharmacy. Great Atlantic & Pacific Tea Company Inc practices in Pompton Lakes, NJ. The NPI Number for Great Atlantic & Pacific Tea Company Inc is 1669497228 and holds a License No. 05911 (New Jersey).

The current practice location address for Great Atlantic & Pacific Tea Company Inc is 63 Wanaque Ave, Pompton Lakes, NJ and can be reached out via phone at 973-616-9962 and via fax at 973-616-9965.

Location: 63 Wanaque Ave, Pompton Lakes, NJ, 02241-6369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669497228
Provider Name
Great Atlantic & Pacific Tea Company Inc
Credential
Provider Entity Type
Organization
Address
63 Wanaque Ave, Pompton Lakes, NJ, 02241-6369
Phone Number
973-616-9962
Fax Number
973-616-9965
Provider Enumeration Date
07/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8440603 05 NJ
3142635 01 OTHER ID NUMBER-COMMERCIAL NUMBER
8440611 01 NJ MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
63 Wanaque Ave
City
Pompton Lakes
State
New Jersey
Zip
07442
Phone Number
973-616-9962
Fax Number
973-616-9965
person
Provider Business Mailing Address Details
Address
63 Wanaque Ave
City
Pompton Lakes
State
New Jersey
Zip
07442
Phone Number
973-616-9962
Fax Number
973-616-9965
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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
333600000X
License No.
05911 (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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
05911 (New Jersey)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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