Super Fresh Pharmacy # 804 is not a DME supplier for medicare equipments and products.
Super Fresh Pharmacy # 804 is a Pharmacy in Lansdale, Pennsylvania. This pharmacy is owned and operated by Super Fresh Food Markets, Inc.. This organization is also known as sub part of The Great Atlantic & Pacific Tea Co., Inc.. It is located at 616 E Main St, Lansdale and it's customer support contact number is 215-855-5606. The authorized person of Super Fresh Pharmacy # 804 is Ms. Carol J. Dinicolantonio, R.PH. MBA who is Sr. Director, Pharmacy of the pharmacy and her contact number is 201-571-8334. Active license number of Super Fresh Pharmacy # 804 is PP481110 for Pharmacy in Pennsylvania. Super Fresh Pharmacy # 804 is 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.
Pharmacy Details:
Super Fresh Pharmacy # 804 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Super Fresh Pharmacy # 804
Type:
Pharmacy
Location:
616 E Main St, Lansdale, Pennsylvania, 19446-2964
Phone:
215-855-5606
Fax:
215-855-6097
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ms. Carol J. Dinicolantonio
Credentials:
R.PH. MBA
Position:
Sr. Director, Pharmacy
Contact Number:
201-571-8334
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1295950350
Parent Organization:
The Great Atlantic & Pacific Tea Co., Inc.
NPI Enumeration Date:
16 Apr, 2007
NPI Last Update On:
14 Nov, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Super Fresh Pharmacy # 804 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
PP481110
Pennsylvania
Primary
Durable Medical Equipment & Medical Supplies
PP481110
Pennsylvania
Secondary
Community/Retail Pharmacy
PP481110
Pennsylvania
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3987572
Other
Pennsylvania
Ncpdp #
1007725100056
Medicaid
Pennsylvania
PP481110
Other
Pennsylvania
State License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
616 E Main St, Lansdale, Pennsylvania
Zip:
19446-2964
Phone Number:
215-855-5606
Fax Number:
215-855-6097
Patients can reach Super Fresh Pharmacy # 804 at 616 E Main St, Lansdale, Pennsylvania or can call on customer care at 215-855-5606.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Other Pharmacies in Lansdale, Pennsylvania
Detweiler Family Medicine & Asso Address: 1970 North Broad Street, Lansdale, PA Phone: 215-368-1900 Fax: 215-368-8772Shree Anjaneya Llc Speciality:Community/Retail Pharmacy Address: 801 W Main St, Lansdale, PA Phone: 267-737-8484 Fax: 267-737-8664Keystone Care Pharmacy Speciality:Pharmacy Address: 203 N Broad St, Lansdale, PA Phone: 215-647-9308 Fax: 215-361-2000Cvs Pharmacy #00338 Address: 2333 Welsh Rd, Lansdale, PA Phone: 215-855-1900 Advocate Pharmacy Speciality:Community/Retail Pharmacy Address: 535 S Broad St, Lansdale, PA Phone: 215-362-2479 Fax: 215-362-2532