Organization
RIDLEY'S FAMILY MARKETS INC
Active
Other names
Glenn's Ferry Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ROBERT WISE (DIRECTOR OF PHARMACY)
(801) 358-3365
Entity
Organization
Contact information
Practice address
486 W 1ST AVE, GLENNS FERRY, ID 83623-2701
(801) 358-3365
(208) 567-5622
Mailing address
621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
(801) 358-3365
(208) 567-5622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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