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 18578 Coastal Hwy , Rehoboth Beach DE 19971-6154. 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 (302) 644-7530, or through Kijowski, Susan via phone (201) 571-8326.

Contact Information

Primary practice address
18578 Coastal Hwy Rehoboth Beach DE 19971-6154
Phone: (302) 644-7530
Fax: (302) 644-7523
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 A30000667 Delaware
Suppliers / Pharmacy 333600000X A30000667 Delaware
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1245255892
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 Sep 9th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245255892 NPPES
Delaware MEDICAID 000922407
Delaware Other 0803519

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