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:
Map and Directions
Authorized official contact:
Name: Kijowski, Susan
Phone: (201) 571-8326

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356366900 NPPES
Other 3968976 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1007725100021 OTHER ID NUMBER-COMMERCIAL NUMBER

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