Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Beverly, NJ

NPI number 1285733253 Active

Practice location

2110 Rt 130
Beverly, NJ 08010

Call (609) 871-1550 Map

Fax (609) 877-7719

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	RS02202 (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: 1285733253
Entity type: Organization (Type 2)
Issued: Sep 22, 2006
Last updated: Sep 29, 2008
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 1285733253

Pathmark Stores Inc's National Provider Identifier is 1285733253, issued on Sep 22, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Beverly, NJ. The record was last updated on Sep 29, 2008.