Pathmark Stores INC
NPI #1962509737 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1962509737
- Entity Type
- Organization
- Organization Name
- Pathmark Stores INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GREAT ATLANTIC & PACIFIC TEA CO., INC, THE.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 16, 2013
Practice Location
- Address
- 5145 NESCONSET HWY
- State
- New York
- ZIP Code
- 11776-2047
- Phone
- (631) 331-2210
Authorized Official
- Name
- SUSAN D KIJOWSKI
- Title
- MANAGER, REGULATORY COMPLIANCE
- Phone
- (201) 571-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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