Pathmark Stores INC
NPI #1649377409 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1649377409
- 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
- Oct 5, 2010
Practice Location
- Address
- 95-101 NEW BRUNSWICK AVE
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-2294
- Phone
- (732) 826-0600
Authorized Official
- Name
- SUSAN D KIJOWSKI
- Title
- REGULATORY COMPLIANCE SPECIALIST
- Phone
- (201) 571-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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