Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Jersey City, NJ

NPI number 1043311418 Active

Practice location

Route 440 And Kellogg St
Jersey City, NJ 07305

Call (201) 434-1212 Map

Fax (201) 499-1063

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	RS002954 (NJ)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1043311418
Entity type: Organization (Type 2)
Issued: Sep 26, 2006
Last updated: Sep 29, 2008
Status: Active
Subpart: Yes of The Great Atlantic and Pacific Tea Co Inc

Other names

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Pathmark Pharmacy · doing business as

Authorized official

Susan D Kijowski
Pharmacy Specialist
(201) 571-8326

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043311418

Pathmark Stores Inc's National Provider Identifier is 1043311418, issued on Sep 26, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jersey City, NJ. The record was last updated on Sep 29, 2008.