# BLOOMING HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Ridge Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194367987
- **Authorized official:** AMGAD WASSEF (CEO / OWNER)
- **Authorized official phone:** (914) 886-2253

## Contact information

- **Practice address:** 40 PARK AVE, PARK RIDGE, NJ 07656-1454
- **Practice address phone:** (201) 554-2200
- **Practice address fax:** (201) 554-2300
- **Mailing address:** 40 PARK AVE, PARK RIDGE, NJ 07656-1454
- **Mailing address phone:** (914) 886-2253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2019
- **Last updated:** 05/16/2025