| NPI | 1356493456 |
|---|---|
| Doing Business As | RIDGEWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SADATH ULLA SHAREEF Supervising Pharmacist 718-381-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 025558) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2012-06-07 |