# MEDICITI DRUGS INC

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

## Provider details

- **NPI number:** 1356493456
- **Authorized official:** MR. SADATH ULLA SHAREEF RPH (SUPERVISING PHARMACIST)
- **Authorized official phone:** (718) 381-3622

## Contact information

- **Practice address:** 389 ONDERDONK AVE, RIDGEWOOD, NY 11385-1336
- **Practice address phone:** (718) 381-3622
- **Practice address fax:** (718) 381-7992
- **Mailing address:** 389 ONDERDONK AVE, RIDGEWOOD, NY 11385-1336
- **Mailing address phone:** (718) 381-3622
- **Mailing address fax:** (718) 381-7992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 025558 | NY | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 06/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02383755 | — | NY |