Organization
RIDGELAND ALLIED PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERYCK KARL JOSEPHS RPH (PHARMACIST/OWNER)
(813) 689-9489
Entity
Organization
Contact information
Practice address
804 W BLOOMINGDALE AVE, STE. 1-4, BRANDON, FL 33511-7778
(813) 689-9489
(813) 689-9682
Mailing address
804 W BLOOMINGDALE AVE, STE. 1-4, BRANDON, FL 33511-7778
(813) 689-9489
(813) 689-9682
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH 27215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011032200
—
FL
Enumeration date
02/04/2016
Last updated
02/04/2016
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