Pathmark Stores INC

NPI #1043317811 in Ozone Park, New York

Provider Information

NPI Number
1043317811
Entity Type
Organization
Organization Name
Pathmark Stores INC
Subpart
Yes (part of a larger organization)
Parent Organization
THE GREAT ATLANTIC & PACIFIC TEA CO INC
Primary Specialty
Pharmacy
Enumeration Date
Sep 20, 2006
Last Updated
Mar 20, 2009

Practice Location

Address
9210 ATLANTIC AVE
ZIP Code
11416-1517
Phone
(718) 835-7903

Authorized Official

Name
SUSAN D KIJOWSKI
Title
PHARMACY SPECIALIST
Phone
(201) 571-8326

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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