Pathmark Stores INC

NPI #1437256294 in Ventnor City, New Jersey

Provider Information

NPI Number
1437256294
Entity Type
Organization
Organization Name
Pathmark Stores INC
Subpart
Yes (part of a larger organization)
Parent Organization
THE GREAT ATLANTIC & PACIFIC TEA COMPANY, INC.
Primary Specialty
Pharmacy
Enumeration Date
Sep 20, 2006
Last Updated
Nov 24, 2010

Practice Location

Address
5100 WELLINGTON AVE
ZIP Code
08406-1445
Phone
(609) 823-5875

Authorized Official

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

Specialties & Taxonomy Codes

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

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