# RIDLEYS FAMILY MARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridley's Pharmacy \#1161
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073895918
- **Authorized official:** TODD WISE (PHARMACY COORDINATOR)
- **Authorized official phone:** (801) 358-3365

## Contact information

- **Practice address:** 275 E 300 N, MORGAN, UT 84050-9520
- **Practice address phone:** (801) 829-6271
- **Practice address fax:** (801) 829-6278
- **Mailing address:** 621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
- **Mailing address phone:** (208) 324-4633
- **Mailing address fax:** (208) 324-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 8087837-1 | UT | Yes |

## Other

- **Enumeration date:** 09/16/2011
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2132112 | PK | — |
