Individual
ANNIE RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7109 S JEFFERY BLVD, CHICAGO, IL 60649-2425
(773) 324-2105
Mailing address
1151 E 45TH ST, CHICAGO, IL 60653-4401
(773) 548-8981
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051031133
IL
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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