PATHMARK STORES INC. NPI 1861623407

NPI Information

PATHMARK STORES, INC. is a pharmacy in Staten Island, NY. The provider is 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 located. PATHMARK STORES, INC. NPI is 1861623407. The provider is registered as an organization entity type.
The provider Is Doing Business As Pathmark Pharmacy # 171.

The provider's business location address is:

2660 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10306-355
Phone: (718) 668-2972
Fax: (718) 668-2974

The provider's authorized official is Susan D Kijowski .
The authorized official title is Pharmacy Specialist and has the following contact phone number (201) 571-8326.

The enumeration date for this NPI number is 7/30/2009 and was last updated on 9/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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