Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · North Plainfield, NJ

NPI number 1104923960 Active

Practice location

1280 US Highway 22
North Plainfield, NJ 07060-3518

Call (908) 561-2366 Map

Fax (908) 757-3265

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	RS2800349400 (NJ)
Pharmacy Primary	333600000X	RS003494 (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…

NPI record

NPI: 1104923960
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Mar 25, 2009
Status: Active
Subpart: Yes of The Great Atlantic & Pacific Tea Co Inc

Other names

<unavail>
Pathmark Pharmacy · doing business as

Authorized official

Susan D Kijowski
Pharmacy Specialist
(201) 571-8326

Verify this record

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 1104923960

Pathmark Stores Inc's National Provider Identifier is 1104923960, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in North Plainfield, NJ. The record was last updated on Mar 25, 2009.