Organization Name: | PATHMARK STORES INC |
NPI Number: | 1194822957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN D KIJOWSKI (MANAGER, REGULATORY COMPLIANCE) |
Mailing Address: | 1930 State Highway 88 Brick |
State: | NJ US |
Postal Code: | 087243153 |
Phone Number: | 7328400555 |
Fax Number: | 7327859756 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | RS28002016 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |