Ridge Pharmacy

LBN: Ridge Pharmacy Inc
Ridge Pharmacy is an health care organization with primary practice located at 1919 Lake Ave , Wilmette IL 60091-1422. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ridge Pharmacy Inc can be contacted via phone (847) 251-0315, or through Tierney, Donald via phone (847) 251-0315.

Contact Information

Primary practice address
1919 Lake Ave Wilmette IL 60091-1422
Phone: (847) 251-0315
Fax: (847) 251-0377
Website:
Map and Directions
Authorized official contact:
Name: Tierney, Donald RPH
Phone: (847) 251-0315

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054003535 Illinois

Profile Details

NPI number 1912019852
LBN Legal business name Ridge Pharmacy Inc
DBA Doing business as Ridge Pharmacy
Authorized official Tierney, Donald RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 1st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912019852 NPPES
Other 1428514 NCPDP PROVIDER IDENTIFICATION NUMBER

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