Organization · Type 2 NPI

Super Fresh Food Markets Inc

Pharmacy · Philadelphia, PA

NPI number 1083639637 Active

Practice location

2101-41 Cottman Ave
Philadelphia, PA 19149-1122

Call (215) 725-3582 Map

Fax (215) 725-3524

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	PP415281L (PA)
Pharmacy Primary	333600000X	PP415281L (PA)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: 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 lo…

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NPI record

NPI: 1083639637
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Apr 14, 2011
Status: Active
Subpart: Yes of The Great Atlantic and Pacific Tea Company Inc

Other names

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Pathmark Pharmacy · doing business as

Authorized official

Susan Kijowski
Regulatory Compliance Specialist
(201) 571-8326

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083639637

Super Fresh Food Markets Inc's National Provider Identifier is 1083639637, issued on Jul 13, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 14, 2011.