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Pathmark Stores Inc
Community/Retail Pharmacy in Paterson, New Jersey
NPI 1174620934

Pathmark Stores Inc is a Community/Retail Pharmacy based in Montvale, NJ and is specialized in Community/Retail Pharmacy. Pathmark Stores Inc practices in Paterson, NJ. The NPI Number for Pathmark Stores Inc is 1174620934 and holds a License No. RS2800325300 (New Jersey).

The current practice location address for Pathmark Stores Inc is 498 E 30Th St, Paterson, NJ and can be reached out via phone at 973-278-9339 and via fax at 973-278-0199.

Location: 498 E 30Th St, Paterson, NJ, 07645-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174620934
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
498 E 30Th St, Paterson, NJ, 07645-1718
Phone Number
973-278-9339
Fax Number
973-278-0199
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4534204 05 NJ
3132595 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
498 E 30Th St
City
Paterson
State
New Jersey
Zip
07504-2133
Phone Number
973-278-9339
Fax Number
973-278-0199
person
Provider Business Mailing Address Details
Address
498 E 30Th St
City
Paterson
State
New Jersey
Zip
07504-2133
Phone Number
973-278-9339
Fax Number
973-278-0199
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.
RS004557 (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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