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Organization

RIDGE CHEMISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVANGELOS PAPPAS (SOLE OWNER)
(718) 333-5979
Entity
Organization

Contact information

Practice address
4620 3RD AVE, BROOKLYN, NY 11220-1034
(718) 333-5979
(718) 333-5983
Mailing address
4620 3RD AVE, BROOKLYN, NY 11220-1034
(718) 333-5979
(718) 333-5983

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
034650
NY
3336C0003X
Community/Retail Pharmacy
Primary
034650
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
034650
REGISTRATION
NY
05
04527175
NY
Enumeration date
05/23/2016
Last updated
03/23/2021
About Stedi
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Product
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  • EDI platform