Organization
RIDGEWOOD PHARMACY EXPRESS INC
Active
Other names
Ridgewood Pharmacy Express, INC
Organization subpart
No
Provider details
NPI number
Authorized official
YANA ARONOV (OWNER)
(718) 366-6900
Entity
Organization
Contact information
Practice address
5456A MYRTLE AVE, RIDGEWOOD, NY 11385-3453
(718) 366-6900
(718) 366-6901
Mailing address
54-56A MYRTLE AVENUE, RIDGEWOOD, NY 11385
(718) 366-6900
(718) 366-6901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034120
NY
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155956
PK
—
Enumeration date
12/17/2015
Last updated
02/23/2017
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