Organization
RIDLEY'S FAMILY MARKETS, INC
Active
Other names
Ridley's Pharmacy #7152
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHI KETTERLING PHARMD (PRESIDENT)
(208) 324-4633
Entity
Organization
Contact information
Practice address
911 N MAIN ST, POCATELLO, ID 83204-2831
(208) 478-8510
(208) 235-1328
Mailing address
621 WASHINGTON ST. SOUTH, TWIN FALLS, ID 83301-5519
(208) 324-4633
(208) 324-1190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1569CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805916500
—
ID
Enumeration date
02/23/2007
Last updated
05/17/2016
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