Organization
RIDGE CHEMISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANO PINEDA (OWNER)
(917) 407-7993
Entity
Organization
Contact information
Practice address
122 BAY RIDGE AVE, BROOKLYN, NY 11220-5052
(718) 333-5979
(718) 333-5983
Mailing address
122 BAY RIDGE AVE, BROOKLYN, NY 11220-5052
(718) 333-5979
(718) 333-5983
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
034650
NY
3336C0004X
Compounding Pharmacy
Primary
034650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04527175
—
NY
01
—
2159413
PK
—
Enumeration date
05/25/2016
Last updated
03/29/2018
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