Organization
MEDICITI DRUGS INC
Active
Other names
RIDGEWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SADATH ULLA SHAREEF RPH (SUPERVISING PHARMACIST)
(718) 381-3622
Entity
Organization
Contact information
Practice address
389 ONDERDONK AVE, RIDGEWOOD, NY 11385-1336
(718) 381-3622
(718) 381-7992
Mailing address
389 ONDERDONK AVE, RIDGEWOOD, NY 11385-1336
(718) 381-3622
(718) 381-7992
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02383755
—
NY
Enumeration date
01/17/2007
Last updated
06/07/2012
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