| NPI | 1114024981 |
|---|---|
| Doing Business As | PATHMARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSAN D KIJOWSKI Pharmacy Specialist 201-571-8326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP415487L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA PP415487L) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-30 |