Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Ozone Park, NY

NPI number 1043317811 Active

Practice location

9210 Atlantic Ave
Ozone Park, NY 11416-1517

Call (718) 835-7903 Map

Fax (718) 641-3530

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	018785 (NY)
Pharmacy Primary	333600000X	018785 (NY)
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…

7 other providers at this address

Other pharmacy providers in Ozone Park

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NPI record

NPI: 1043317811
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Mar 20, 2009
Status: Active
Subpart: Yes of The Great Atlantic & 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 1043317811

Pathmark Stores Inc's National Provider Identifier is 1043317811, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Ozone Park, NY. The record was last updated on Mar 20, 2009.