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Pathmark Stores Inc
Community/Retail Pharmacy in Newark, New Jersey
NPI 1265539027

Pathmark Stores Inc is a Community/Retail Pharmacy based in Montvale, NJ and is specialized in Community/Retail Pharmacy. Pathmark Stores Inc practices in Newark, NJ. The NPI Number for Pathmark Stores Inc is 1265539027 and holds a License No. RS2800325300 (New Jersey).

The current practice location address for Pathmark Stores Inc is 167 Bergen St, Newark, NJ and can be reached out via phone at 973-242-2838 and via fax at 973-242-6526.

Location: 167 Bergen St, Newark, NJ, 07645-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265539027
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
167 Bergen St, Newark, NJ, 07645-1718
Phone Number
973-242-2838
Fax Number
973-242-6526
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3131656 01 OTHER ID NUMBER-COMMERCIAL NUMBER
4418301 05 NJ
institution
Provider Business Practice Location Address Details
Address
167 Bergen St
City
Newark
State
New Jersey
Zip
07103-2426
Phone Number
973-242-2838
Fax Number
973-242-6526
person
Provider Business Mailing Address Details
Address
167 Bergen St
City
Newark
State
New Jersey
Zip
07103-2426
Phone Number
973-242-2838
Fax Number
973-242-6526
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.
RS004425 (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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