Pathmark

NPI #1083904486 in Staten Island, New York

Provider Information

NPI Number: 1083904486
Entity Type: Organization
Organization Name: Pathmark
Primary Specialty: Pharmacist
Enumeration Date: Apr 19, 2011
Last Updated: Apr 19, 2011

Practice Location

Address: 2660 HYLAN BLVD
City: Staten Island
State: New York
ZIP Code: 10306-4360
Phone: (718) 668-2972

Authorized Official

Name: MR. RICHARD TREZZINO JR., R.P.H
Title: PHARMACIST
Phone: (718) 645-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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