# RIDGE COLONIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUNWAY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295231694
- **Authorized official:** MUHAMMAD SHAMS (OWNER)
- **Authorized official phone:** (718) 439-5000

## Contact information

- **Practice address:** 5723 5TH AVE, BROOKLYN, NY 11220-3815
- **Practice address phone:** (718) 439-5000
- **Practice address fax:** (718) 439-5003
- **Mailing address:** 5723 5TH AVE, BROOKLYN, NY 11220-3815
- **Mailing address phone:** (718) 439-5000
- **Mailing address fax:** (718) 439-5003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 036463 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 04/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176914 | PK | — |