Organization
PATHMARK STORES INC
Active
Parent organization
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.
Other names
PATHMARK PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.
Authorized official
SUSAN D KIJOWSKI (REG COMPLIANCE SPECIALIST)
(201) 571-8326
Entity
Organization
Contact information
Practice address
10 TRIANGLE 17 PLAZA, RAMSEY, NJ 07446
(201) 934-7710
(201) 934-8251
Mailing address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(201) 573-9700
(201) 571-8335
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RS003849
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3128104
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4376803
—
NJ
Enumeration date
09/22/2006
Last updated
08/18/2010
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