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Pathmark Stores Inc
Community/Retail Pharmacy in Brookhaven, Pennsylvania
NPI 1689771453

Pathmark Stores Inc is a Community/Retail Pharmacy based in Montvale, PA and is specialized in Community/Retail Pharmacy. Pathmark Stores Inc practices in Brookhaven, PA. The NPI Number for Pathmark Stores Inc is 1689771453 and holds a License No. PP413030L (Pennsylvania).

The current practice location address for Pathmark Stores Inc is 5005 Edgmont Ave, Brookhaven, PA and can be reached out via phone at 610-872-4346 and via fax at 610-872-4574.

Location: 5005 Edgmont Ave, Brookhaven, PA, 07645-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689771453
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
5005 Edgmont Ave, Brookhaven, PA, 07645-1718
Phone Number
610-872-4346
Fax Number
610-872-4574
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3906332 01 OTHER ID NUMBER-COMMERCIAL NUMBER
0017374600015 05 PA
institution
Provider Business Practice Location Address Details
Address
5005 Edgmont Ave
City
Brookhaven
State
Pennsylvania
Zip
19015-1202
Phone Number
610-872-4346
Fax Number
610-872-4574
person
Provider Business Mailing Address Details
Address
5005 Edgmont Ave
City
Brookhaven
State
Pennsylvania
Zip
19015-1202
Phone Number
610-872-4346
Fax Number
610-872-4574
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.
PP413030L (Pennsylvania)
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.
PP413030L (Pennsylvania)
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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