Pathmark Stores Inc in Islip - Pharmacy

Pathmark Stores Inc - NPI 1154428910

Pathmark Stores Inc is a Pharmacy in Islip, New York. Pathmark Stores Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Pathmark Stores Inc is 1154428910. The last update date is 2009-03-25.

Pathmark Stores Inc's current location address is 155 Islip Ave, Islip, New York. You can contact this provider via phone number 6315811510 and fax number 6312244312. The mailing address for Pathmark Stores Inc is 155 Islip Ave, Islip, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pathmark Stores Inc
Address 155 Islip Ave, Islip, New York
Phone Number 6315811510
Fax Number 6312244312
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACY S
Authorized Official Name Kijowski D Susan
Telephone Number 2015718326

NPI Number Detail

NPI Number 1154428910
Provider Enumeration Date 2006-09-20
Last Updated Date 2009-03-25

Provider Mailing Address Detail

Address 155 Islip Ave
City Islip
State New York (NY)
Post Code 117513210
Phone Number 6315811510
Fax Number 6312244312

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 12962
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
513117 NY --
3313955 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Pathmark Stores Inc

What is the unique provider identifier assigned to Pathmark Stores Inc?

The Pathmark Stores Inc has been issued the NPI (National Provider Identifier) 1154428910 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Pathmark Stores Inc is geographically located?

The Pathmark Stores Inc is physically situated at the following location: 155 Islip Ave, Islip, NY, 117513210.

What is Pathmark Stores Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pathmark Stores Inc is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date was the 1154428910 assigned to Pathmark Stores Inc?

The Pathmark Stores Inc was issued its 1154428910 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Pathmark Stores Inc most recently updated or revised?

The information pertaining to Pathmark Stores Inc, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-25.

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