Organization
RIDLEY'S FAMILY MARKETS, INC
Active
Other names
Ridley's Pharmacy #1167
Organization subpart
No
Provider details
NPI number
Authorized official
CATHI BAILY KETTERLING PHARM. D (PHARMACY COORDINATOR)
(208) 320-2073
Entity
Organization
Contact information
Practice address
5353 W 11000 N, HIGHLAND, UT 84003-9403
(801) 756-8353
(801) 756-3525
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
Primary
8526422-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8526422-1703
PHARMACY LICENSE
UT
Enumeration date
05/11/2013
Last updated
05/11/2013
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