Organization Name: | PATHMARK STORES INC |
NPI Number: | 1306943170 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN D KIJOWSKI (PHARMACY SPECIALIST) |
Mailing Address: | 1000 Easton Rd 100 Wyncote |
State: | PA US |
Postal Code: | 190952918 |
Phone Number: | 2155727440 |
Fax Number: | 2155727893 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PP413033L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |