| NPI | 1285679415 |
|---|---|
| Doing Business As | PARK RIDGE APOTHECARY INC |
| Entity Type | Organization |
| Authorized Contact | MARYLYNN DANDREA Supervisor,PIC,AO 585-723-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 019921) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2017-02-16 |