NPI 1487751244 · live from the CMS NPI Registry
Pathmark Stores INC
Pharmacy in Newark, DE. National Provider Identifier 1487751244, active.
NPI record
| NPI | 1487751244 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 100 College Sq, Newark, DE 19711 |
| Practice phone | 302-737-0393 |
| Mailing address | 2 Paragon Dr, Montvale, NJ 07645 |
| Enumerated | September 20, 2006 |
| Last updated | June 30, 2008 |
| Authorized official | Susan Kijowski, Pharmacy Specialist |
| Other names | Pathmark Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | A3-0000883 (DE) |
| Pharmacy primary | 333600000X | A3-0000883 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.