Provider Demographics
NPI:1619041258
Name:FOOD CIRCUS SUPERMARKETS INC.
Entity type:Organization
Organization Name:FOOD CIRCUS SUPERMARKETS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:731-758-0008
Mailing Address - Street 1:1560 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3521
Mailing Address - Country:US
Mailing Address - Phone:732-493-1212
Mailing Address - Fax:732-695-1419
Practice Address - Street 1:1560 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3521
Practice Address - Country:US
Practice Address - Phone:732-493-1212
Practice Address - Fax:732-695-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJR110663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy