Organization
RIDLEYS FAMILY MARKETS INC
Active
Other names
RIDLEYS PHARMACY #8444
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WISE DOC OF PHARMACY (PHARMACY COORDINATOR)
(801) 358-3365
Entity
Organization
Contact information
Practice address
652 E 1ST ST, WEISER, ID 83672-2200
(208) 549-0172
(208) 549-1148
Mailing address
621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
(208) 324-4633
(208) 324-1190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1396RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020817
PK
—
05
—
805328000
—
ID
Enumeration date
02/27/2007
Last updated
07/19/2018
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