Organization
REDI CORPORATION AND PHARMACY
Active
Other names
REDI CORPORATION AND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARKADY CHEPKUUOV (OWNER)
(845) 988-5805
Entity
Organization
Contact information
Practice address
44 RONALD REAGAN BLVD, WARWICK, NY 10990-4118
(845) 988-5805
(914) 988-5872
Mailing address
44 RONALD REAGAN BLVD, WARWICK, NY 10990-4118
(845) 988-5805
(914) 988-5872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024507
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02001256
—
NY
01
—
3308512
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/08/2007
Last updated
01/11/2011
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