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Pathmark Stores Inc
Community/Retail Pharmacy in Kinnelon, New Jersey
NPI 1003913864

Pathmark Stores Inc is a Community/Retail Pharmacy based in Montvale, NJ and is specialized in Community/Retail Pharmacy. Pathmark Stores Inc practices in Kinnelon, NJ. The NPI Number for Pathmark Stores Inc is 1003913864 and holds a License No. RS2800325300 (New Jersey).

The current practice location address for Pathmark Stores Inc is 25 Kinnelon Rd, Kinnelon, NJ and can be reached out via phone at 973-838-6699 and via fax at 973-838-1236.

Location: 25 Kinnelon Rd, Kinnelon, NJ, 07645-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003913864
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
25 Kinnelon Rd, Kinnelon, NJ, 07645-1718
Phone Number
973-838-6699
Fax Number
973-838-1236
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3102869 01 OTHER ID NUMBER-COMMERCIAL NUMBER
4305400 05 NJ
institution
Provider Business Practice Location Address Details
Address
25 Kinnelon Rd
City
Kinnelon
State
New Jersey
Zip
07405-2337
Phone Number
973-838-6699
Fax Number
973-838-1236
person
Provider Business Mailing Address Details
Address
25 Kinnelon Rd
City
Kinnelon
State
New Jersey
Zip
07405-2337
Phone Number
973-838-6699
Fax Number
973-838-1236
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
RS002015 (New Jersey)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
RS2800325300 (New Jersey)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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