Organization
ARD PHARMACY LLC
Active
Other names
ARD PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT ABRAMOV (OWNER)
(347) 216-3632
Entity
Organization
Contact information
Practice address
6061 MYRTLE AVE, RIDGEWOOD, NY 11385-5908
(718) 417-4154
(718) 417-4291
Mailing address
6061 MYRTLE AVE, RIDGEWOOD, NY 11385-5908
(718) 417-4154
(718) 417-4291
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030041
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3365257
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/31/2009
Last updated
04/20/2010
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