Organization Name: | PATHMARK STORES INC |
NPI Number: | 1366549123 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN D KIJOWSKI (PHARMACY SPECIALIST) |
Mailing Address: | 4578 Route 9 South Howell |
State: | NJ US |
Postal Code: | 077313771 |
Phone Number: | 7323643700 |
Fax Number: | 7329016582 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | RS28003405 |
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 |