Pathmark Stores INC

NPI #1942307715 in Upper Darby, Pennsylvania

Provider Information

NPI Number
1942307715
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
Jun 30, 2008

Practice Location

Address
421 S 69TH ST
ZIP Code
19082-4214
Phone
(610) 734-1166

Authorized Official

Name
SUSAN KIJOWSKI
Title
PHARMACY 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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