Organization
RIDLEYS FAMILY MARKETS INC
Active
Other names
Ridley's Pharmacy #1161
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WISE (PHARMACY COORDINATOR)
(801) 358-3365
Entity
Organization
Contact information
Practice address
275 E 300 N, MORGAN, UT 84050-9520
(801) 829-6271
(801) 829-6278
Mailing address
621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
(208) 324-4633
(208) 324-1190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8087837-1
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132112
PK
—
Enumeration date
09/16/2011
Last updated
07/19/2018
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