Pathmark Stores INC
NPI #1689771453 in Brookhaven, Pennsylvania
Provider Information
- NPI Number
- 1689771453
- 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
- Jun 30, 2008
Practice Location
- Address
- 5005 EDGMONT AVE
- City
- Brookhaven
- State
- Pennsylvania
- ZIP Code
- 19015-1202
- Phone
- (610) 872-4346
Authorized Official
- Name
- SUSAN D KIJOWSKI
- Title
- PHARMACY 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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