Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Edgewater, NJ

NPI number 1619074473 Active

Practice location

481 River Rd
Edgewater, NJ 07020-1145

Call (201) 840-7764 Map

Fax (201) 840-7786

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	RS2800325300 (NJ)
Pharmacy Primary	333600000X	RS005309 (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…

5 other providers at this address

Other pharmacy providers in Edgewater

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NPI record

NPI: 1619074473
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Dec 10, 2008
Status: Active
Subpart: Yes of The Great Atlantic & Pacific Tea Co

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 1619074473

Pathmark Stores Inc's National Provider Identifier is 1619074473, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Edgewater, NJ. The record was last updated on Dec 10, 2008.