Organization · Type 2 NPI

Super Fresh Food Markets, Inc.

Pharmacy · Lansdale, PA

NPI number 1295950350 Active

Practice location

616 E Main St
Lansdale, PA 19446-2964

Fax (215) 855-6097

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	PP481110 (PA)
Pharmacy Primary	333600000X	PP481110 (PA)
Community/Retail Pharmacy	3336C0003X	PP481110 (PA)

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…

3 other providers at this address

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NPI record

NPI: 1295950350
Entity type: Organization (Type 2)
Issued: Apr 16, 2007
Last updated: Nov 14, 2007
Status: Active
Subpart: Yes of The Great Atlantic & Pacific Tea Co., Inc.

Other names

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Super Fresh Pharmacy #804 · doing business as

Authorized official

Ms. Carol J. Dinicolantonio, R.PH. MBA
Sr. Director, Pharmacy
(201) 571-8334

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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 1295950350

Super Fresh Food Markets, Inc.'s National Provider Identifier is 1295950350, issued on Apr 16, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lansdale, PA. The record was last updated on Nov 14, 2007.