Pathmark Stores Inc in Port Jefferson Stati - Pharmacy

Pathmark Stores Inc - NPI 1962509737

Pathmark Stores Inc is a Pharmacy in Port Jefferson Stati, New York. Pathmark Stores Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Pathmark Stores Inc is 1962509737. The last update date is 2013-08-16.

Pathmark Stores Inc's current location address is 5145 Nesconset Hwy, Port Jefferson Stati, New York. You can contact this provider via phone number 6313312210 and fax number 6314733291. The mailing address for Pathmark Stores Inc is 5145 Nesconset Hwy, Port Jefferson Stati, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pathmark Stores Inc
Address 5145 Nesconset Hwy, Port Jefferson Stati, New York
Phone Number 6313312210
Fax Number 6314733291
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER, R
Authorized Official Name Kijowski D Susan
Telephone Number 2015718326

NPI Number Detail

NPI Number 1962509737
Provider Enumeration Date 2006-09-20
Last Updated Date 2013-08-16

Provider Mailing Address Detail

Address 5145 Nesconset Hwy
City Port Jefferson Stati
State New York (NY)
Post Code 117762047
Phone Number 6313312210
Fax Number 6314733291

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 16040
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 presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
490111 NY --
3364229 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Pathmark Stores Inc

What is the unique 10-digit identification code issued to Pathmark Stores Inc by the Centers for Medicare & Medicaid Services?

The Pathmark Stores Inc has been assigned the NPI (National Provider Identifier) 1962509737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Pathmark Stores Inc's facilities are situated?

The facilities of Pathmark Stores Inc are physically located at the following address: 5145 Nesconset Hwy, Port Jefferson Stati, NY, 117762047.

What is Pathmark Stores Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Pathmark Stores Inc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962509737 to Pathmark Stores Inc?

The Centers for Medicare & Medicaid Services assigned the 1962509737 to Pathmark Stores Inc on 2006-09-20.

When was the Pathmark Stores Inc's information last updated?

The Pathmark Stores Inc's information was last updated on 2013-08-16.

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