Organization
RIDGE DISCOUNT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCCO DIMATTIA (PRESIDENT)
(267) 519-3387
Entity
Organization
Contact information
Practice address
1406A RIDGE AVE, PHILADELPHIA, PA 19130-2914
(267) 519-3387
(267) 519-3429
Mailing address
1406A RIDGE AVE, PHILADELPHIA, PA 19130-2914
(267) 519-3387
(267) 519-3429
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482564
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482564
PHARMACY LICENSE
PA
Enumeration date
06/25/2015
Last updated
02/07/2024
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