| NPI | 1053418822 |
|---|---|
| Doing Business As | PATHMARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN D KIJOWSKI Manager, Regulatory Compliance 201-571-8326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 016026) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 016026) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-10-08 |