Pathmark Stores INC

NPI #1811094675 in Avenel, New Jersey

Provider Information

NPI Number
1811094675
Entity Type
Organization
Organization Name
Pathmark Stores INC
Subpart
Yes (part of a larger organization)
Parent Organization
THE GREAT ATLANTIC & PACIFIC TEA COMPANY
Primary Specialty
Pharmacy
Enumeration Date
Sep 20, 2006
Last Updated
Oct 11, 2013

Practice Location

Address
1600 SAINT GEORGES AVE
City
Avenel
ZIP Code
07001-1044
Phone
(732) 499-7904

Authorized Official

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

Specialties & Taxonomy Codes

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

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