Organization
RIDGE COLONIAL LLC
Active
Other names
SUNWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD SHAMS (OWNER)
(718) 439-5000
Entity
Organization
Contact information
Practice address
5723 5TH AVE, BROOKLYN, NY 11220-3815
(718) 439-5000
(718) 439-5003
Mailing address
5723 5TH AVE, BROOKLYN, NY 11220-3815
(718) 439-5000
(718) 439-5003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
036463
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176914
PK
—
Enumeration date
04/04/2018
Last updated
04/25/2018
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