Pathmark Pharmacy
LBN: Super Fresh Food Markets Inc
Pathmark Pharmacy is an health care organization with primary practice located at 643 Conchester Hwy , Boothwyn PA 19061-3147. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Super Fresh Food Markets Inc can be contacted via phone (610) 859-8930, or through Kijowski, Susan via phone (201) 571-8326.
Contact Information
Primary practice address
643 Conchester Hwy
Boothwyn PA 19061-3147
Phone: (610) 859-8930
Fax: (610) 859-0166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PP414956L | Pennsylvania |
| Suppliers / Pharmacy | 333600000X | PP414956L | Pennsylvania |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1356366900 |
|---|---|
| LBN Legal business name | Super Fresh Food Markets Inc |
| DBA Doing business as | Pathmark Pharmacy |
| Authorized official | Kijowski, Susan |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | May 24th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356366900 | NPPES |
| Other | 3968976 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 1007725100021 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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