NPI 1043311418

Pathmark Stores INC

Organisation Pharmacy Jersey City, NJ

Practice location

Address: Route 440 and Kellogg St, Jersey City, NJ 07305
Phone: (201) 434-1212
Fax: (201) 499-1063
Mailing address: 2 Paragon Dr, Montvale, NJ 07645-1718

Authorised official

Name: Susan D Kijowski
Title: Pharmacy Specialist
Phone: (201) 571-8326

Registered specialties (2)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence RS002954 (NJ)

Other Pharmacy providers in New Jersey →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X

Registry record

NPI: 1043311418
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 29 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.