institution
Pathmark Stores Inc
Community/Retail Pharmacy in Jersey City, New Jersey
NPI 1275630030

Pathmark Stores Inc is a Community/Retail Pharmacy based in Montvale, NJ and is specialized in Community/Retail Pharmacy. Pathmark Stores Inc practices in Jersey City, NJ. The NPI Number for Pathmark Stores Inc is 1275630030 and holds a License No. 28RS00362900 (New Jersey).

The current practice location address for Pathmark Stores Inc is 422 Grand St, Jersey City, NJ and can be reached out via phone at 201-432-5513 and via fax at 201-432-2261. You can also correspond with Pathmark Stores Inc through the mailing address at 2 PARAGON DR, MONTVALE, NJ - 07645-1718 (mailing address contact number: 201-573-9700).

Location: 422 Grand St, Jersey City, NJ, 07645-1718
institution
Provider Profile Details
NPI Number
1275630030
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
422 Grand St, Jersey City, NJ, 07645-1718
Phone Number
201-432-5513
Fax Number
201-432-2261
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4360702 05 NJ
3126770 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
422 Grand St
City
State
Zip
07302-4240
Phone Number
201-432-5513
Fax Number
201-432-2261
person
Provider Business Mailing Address Details
Address
2 Paragon Dr
City
State
Zip
07645-1718
Phone Number
201-573-9700
Fax Number
201-571-8335
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
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
License No.
RS003629 (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
License No.
28RS00362900 (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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