Organization
RIDGE MANOR PHARMACY
Active
Other names
Benzer Pharmacy Ridge Manor
Organization subpart
No
Provider details
NPI number
Authorized official
BASIM AHMED (OWNER)
(352) 681-1988
Entity
Organization
Contact information
Practice address
34490 CORTEZ BLVD, RIDGE MANOR, FL 33523-8908
(352) 437-6851
(352) 437-6852
Mailing address
9603 ORANGE JASMINE WAY, TAMPA, FL 33647-3020
(813) 304-2221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH30189
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018722900
—
FL
01
—
2160561
PK
—
Enumeration date
07/12/2016
Last updated
01/18/2017
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