Organization
RIDLEY'S FAMILY MARKETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ROBERT WISE (DIRECTOR OF PHARMACY)
(435) 336-0310
Entity
Organization
Contact information
Practice address
19 S MAIN ST, SUITE 4D, COALVILLE, UT 84017-8401
(801) 358-3365
(208) 567-5622
Mailing address
5353 W 11000 N, ATTN TODD WISE, HIGHLAND, UT 84003
(801) 358-3365
(208) 567-5622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
08/20/2020
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