Pathmark Stores INC

NPI #1790882553 in North Babylon, New York

Provider Information

NPI Number
1790882553
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
1251 DEER PARK AVE
ZIP Code
11703-3189
Phone
(631) 586-3400

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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