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Pathmark Stores Inc
Community/Retail Pharmacy in Edgewater, New Jersey
NPI 1619074473

Pathmark Stores Inc is a Community/Retail Pharmacy based in Montvale, NJ and is specialized in Community/Retail Pharmacy. Pathmark Stores Inc practices in Edgewater, NJ. The NPI Number for Pathmark Stores Inc is 1619074473 and holds a License No. RS2800325300 (New Jersey).

The current practice location address for Pathmark Stores Inc is 481 River Rd, Edgewater, NJ and can be reached out via phone at 201-840-7764 and via fax at 201-840-7786.

Location: 481 River Rd, Edgewater, NJ, 07645-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619074473
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
481 River Rd, Edgewater, NJ, 07645-1718
Phone Number
201-840-7764
Fax Number
201-840-7786
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6934404 05 NJ
3138030 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
481 River Rd
City
Edgewater
State
New Jersey
Zip
07020-1145
Phone Number
201-840-7764
Fax Number
201-840-7786
person
Provider Business Mailing Address Details
Address
481 River Rd
City
Edgewater
State
New Jersey
Zip
07020-1145
Phone Number
201-840-7764
Fax Number
201-840-7786
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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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.
RS005309 (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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