Pathmark Stores INC

NPI #1528165388 in Landing, New Jersey

Provider Information

NPI Number
1528165388
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
Dec 8, 2008

Practice Location

Address
175 LAKESIDE BLVD
ZIP Code
07850-1109
Phone
(973) 398-3303

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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