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SUPER FRESH PHARMACY
NPI 1396760948
Pharmacy in Bowie, MD

Active since July 13, 2006
4825 GLENN DALE RD, BOWIE, MD 20720(301) 262-3647(301) 262-5526 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Super Fresh Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPER FRESH PHARMACY (NPI 1396760948) is a healthcare organization registered as a pharmacy in Bowie, Maryland and active in the NPI registry since July 2006. The organization lists Susan Kijowski, Pharmacy Specialist, as its authorized official.

NPPES Registry Identity

NPI1396760948
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameTHE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC
Location Address4825 GLENN DALE RDBowie, MD 20720-3585
Mailing Address4825 Glenn Dale RdBowie, MD 20720-3585
Phone(301) 262-3647
Fax(301) 262-5526
Organization SubpartNo
Authorized OfficialSusan KijowskiPharmacy Specialist · (201) 571-8326
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 23, 2007
✔ NPI 1396760948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MD · P02519
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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License P02519 (MD)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4825 GLENN DALE RD, Bowie, MD 20720
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Other Names 1

Doing Business AsSuper Fresh Pharmacy

Other Identifiers 2

Medicare NSC0721470090MD
Other2124395Other Id Number-commercial Number

Frequently Asked Questions

What is THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC's NPI number?

The NPI number assigned to this healthcare provider is 1396760948, enumerated as an "organization" on July 13, 2006.

Where is the provider located?

The provider is located at 4825 GLENN DALE RD BOWIE, MD 20720 and the phone number is (301) 262-3647.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.

What insurance does THE GREAT ATLANTIC AND PACIFIC TEA COMPANY INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.