Organization
RALPH PLACE PHARMACY INC.
Active
Other names
RALPH PLACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BLATT (PRES)
(718) 720-9640
Entity
Organization
Contact information
Practice address
11 RALPH PL, STE 106, STATEN ISLAND, NY 10304-4401
(718) 720-9640
(718) 720-9649
Mailing address
PO BOX 40710, STATEN ISLAND, NY 10304-0710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01378087
—
NY
01
—
2059373
PK
—
Enumeration date
09/30/2006
Last updated
10/21/2014
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