# RIDGEWOOD CITY PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridgewood City Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437394822
- **Authorized official:** PADMA PALLAPOLU (OWNER)
- **Authorized official phone:** (718) 381-7766

## Contact information

- **Practice address:** 775 SENECA AVE, RIDGEWOOD, NY 11385-4127
- **Practice address phone:** (718) 381-7766
- **Practice address fax:** (718) 381-7765
- **Mailing address:** 775 SENECA AVE, RIDGEWOOD, NY 11385-4127
- **Mailing address phone:** (718) 381-7766
- **Mailing address fax:** (718) 381-7765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 029140 | NY | Yes |

## Other

- **Enumeration date:** 12/13/2008
- **Last updated:** 11/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2118467 | PK | — |
| 05 | — | 3074480 | — | NY |