| NPI | 1912019852 |
|---|---|
| Doing Business As | RIDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD TIERNEY Owner 847-251-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054003535) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-12-01 |