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Pathmark Stores Inc
Community/Retail Pharmacy in Irvington, New Jersey
NPI 1356448112

Pathmark Stores Inc is a Community/Retail Pharmacy based in Montvale, NJ and is specialized in Community/Retail Pharmacy. Pathmark Stores Inc practices in Irvington, NJ. The NPI Number for Pathmark Stores Inc is 1356448112 and holds a License No. RS2800325300 (New Jersey).

The current practice location address for Pathmark Stores Inc is 471-79 Lyons Ave, Irvington, NJ and can be reached out via phone at 973-923-8633 and via fax at 973-923-2493.

Location: 471-79 Lyons Ave, Irvington, NJ, 07645-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356448112
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
471-79 Lyons Ave, Irvington, NJ, 07645-1718
Phone Number
973-923-8633
Fax Number
973-923-2493
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4415701 05 NJ
3131492 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
471-79 Lyons Ave
City
Irvington
State
New Jersey
Zip
07111-4717
Phone Number
973-923-8633
Fax Number
973-923-2493
person
Provider Business Mailing Address Details
Address
471-79 Lyons Ave
City
Irvington
State
New Jersey
Zip
07111-4717
Phone Number
973-923-8633
Fax Number
973-923-2493
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.
RS004395 (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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