Organization Name: | PATHMARK STORES INC |
NPI Number: | 1477650232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN D KIJOWSKI (PHARMACY SPECIALIST) |
Mailing Address: | 211 Elmora Ave Elizabeth |
State: | NJ US |
Postal Code: | 072021105 |
Phone Number: | 9082897711 |
Fax Number: | 9083511449 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | RS2800325300 |
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 |