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Pathmark Stores Inc
Pharmacy in Philadelphia, Pennsylvania
NPI 1760589535

Pathmark Stores Inc is a Pharmacy based in Montvale, PA. Pathmark Stores Inc practices in Philadelphia, PA. The NPI Number for Pathmark Stores Inc is 1760589535 and holds a License No. PP411819L (Pennsylvania).

The current practice location address for Pathmark Stores Inc is 4160 Monument Rd, Philadelphia, PA and can be reached out via phone at 215-879-8830 and via fax at 215-879-7466.

Location: 4160 Monument Rd, Philadelphia, PA, 07645-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760589535
Provider Name
Pathmark Stores Inc
Credential
Provider Entity Type
Organization
Address
4160 Monument Rd, Philadelphia, PA, 07645-1718
Phone Number
215-879-8830
Fax Number
215-879-7466
Provider Enumeration Date
09/20/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
3939595 01 OTHER ID NUMBER-COMMERCIAL NUMBER
0017374600013 05 PA
institution
Provider Business Practice Location Address Details
Address
4160 Monument Rd
City
Philadelphia
State
Pennsylvania
Zip
19131-1726
Phone Number
215-879-8830
Fax Number
215-879-7466
person
Provider Business Mailing Address Details
Address
4160 Monument Rd
City
Philadelphia
State
Pennsylvania
Zip
19131-1726
Phone Number
215-879-8830
Fax Number
215-879-7466
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PP411819L (Pennsylvania)
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.
PP411819L (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.
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