Pathmark Stores INC

NPI #1861599631 in Brentwood, New York

Provider Information

NPI Number
1861599631
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
Aug 11, 2014

Practice Location

Address
101 WICKS RD
ZIP Code
11717-3523
Phone
(631) 436-7522

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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