Pathmark Stores INC

NPI #1730286592 in Lawnside, New Jersey

Provider Information

NPI Number
1730286592
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 12, 2008

Practice Location

Address
130 WHITE HORSE PIKE N
ZIP Code
08045-1128
Phone
(856) 546-5111

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 PharmacyCommunity/Retail Pharmacy
Pharmacy

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