Organization
CITY CARE PHARMACY INC
Active
Other names
Ravensview Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LIDAMI TORIBIO (OWNER)
(718) 729-5199
Entity
Organization
Contact information
Practice address
3449 21ST ST, LONG ISLAND CITY, NY 11106-4721
(718) 729-5199
(718) 729-8845
Mailing address
3449 21ST ST, LONG ISLAND CITY, NY 11106-4721
(718) 729-5199
(718) 729-8845
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
015266
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275003
—
NY
01
—
3318210
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/02/2007
Last updated
05/24/2022
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