Pathmark Stores INC
NPI #1356448112 in Irvington, New Jersey
Provider Information
- NPI Number
- 1356448112
- Entity Type
- Organization
- Organization Name
- Pathmark Stores INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE GREAT ATLANTIC & PACIFIC TEA CO
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Mar 13, 2009
Practice Location
- Address
- 471-79 LYONS AVE
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-4717
- Phone
- (973) 923-8633
Authorized Official
- Name
- SUSAN D KIJOWSKI
- Title
- PHARMACY SPECIALIST
- Phone
- (201) 571-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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