| NPI | 1780781542 | 
|---|---|
| Doing Business As | PATHMARK PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | SUSAN D KIJOWSKI Regulatory Compliance Specialist 201-571-8326  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 023215)  | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 023215)  | |
| Enumeration Date | 2006-09-20 | 
| Last Update Date | 2010-10-08 |