| NPI | 1861623407 |
|---|---|
| Doing Business As | PATHMARK PHARMACY # 171 |
| Entity Type | Organization |
| Authorized Contact | SUSAN D KIJOWSKI Pharmacy Specialist 201-571-8326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 029643) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 029643) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2023-03-07 |