Pathmark Stores INC
NPI #1679673602 in Lake Hopatcong, New Jersey
Provider Information
- NPI Number
- 1679673602
- 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 22, 2006
- Last Updated
- Jan 5, 2009
Practice Location
- Address
- 759 RT 15 SOUTH
- City
- Lake Hopatcong
- State
- New Jersey
- ZIP Code
- 07849
- Phone
- (973) 663-0250
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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