Organization
RIDLEY'S FAMILY MARKETS, INC
Active
Other names
Ridley's Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHI B KETTERLING (OPERATIONS MANAGER)
(208) 324-4633
Entity
Organization
Contact information
Practice address
6 STEPTOE CIR, ELY, NV 89301-2692
(775) 289-3420
Mailing address
6 STEPTOE CIR, ELY, NV 89301-2692
(208) 324-4633
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH02113
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023322906
—
NV
01
—
PH02113
NEVADA STATE PHARMACY LICENSE
NV
Enumeration date
08/03/2010
Last updated
03/07/2023
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