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Organization
MEDICITI DRUGS INC
Active
Organization
MEDICITI DRUGS INC
Active
Other names
RIDGEWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SADATH ULLA SHAREEF RPH (SUPERVISING PHARMACIST)
(718) 381-3622
Entity
Organization
Contact information
Practice address
389 ONDERDONK AVE, RIDGEWOOD, NY 11385-1336
(718) 381-3622
(718) 381-7992
Mailing address
389 ONDERDONK AVE, RIDGEWOOD, NY 11385-1336
(718) 381-3622
(718) 381-7992
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02383755
—
NY
Enumeration date
01/17/2007
Last updated
06/07/2012
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