Organization · Type 2 NPI

Pathmark Stores Inc

Pharmacy · Port Jefferson Station, NY

NPI number 1962509737 Active

Practice location

5145 Nesconset Hwy
Port Jefferson Station, NY 11776-2047

Fax (631) 473-3291

Mailing address

PO Box 416369
Boston, MA 02241-6369

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000X016040 (NY)
Pharmacy Primary 333600000X016040 (NY)
Community/Retail Pharmacy 3336C0003XNone 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…

3 other providers at this address

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About NPI 1962509737

Pathmark Stores Inc's National Provider Identifier is 1962509737, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 16, 2013.