Pathmark Stores INC

NPI #1780781542 in Patchogue, New York

Provider Information

NPI Number
1780781542
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 8, 2010

Practice Location

Address
399 MEDFORD AVE
ZIP Code
11772-1849
Phone
(631) 758-2154

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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