Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PATHMARK STORES INC
Active
Organization
PATHMARK STORES INC
Active
Parent organization
THE GREAT ATLANTIC & PACIFIC TEA CO
Other names
PATHMARK PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GREAT ATLANTIC & PACIFIC TEA CO
Authorized official
SUSAN D KIJOWSKI (PHARMACY SPECIALIST)
(201) 571-8326
Entity
Organization
Contact information
Practice address
979 CHURCH RD, CHERRY HILL, NJ 08002-1301
(856) 482-5120
(856) 482-6004
Mailing address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(291) 573-9700
(201) 571-8335
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RS2800325300
NJ
333600000X
Pharmacy
RS003322
NJ
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/22/2006
Last updated
03/11/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers