Organization
RIDLEYS FAMILY MARKETS INC
Active
Other names
Ridleys Pharmacy #8446
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WISE DOC OF PHARMACY (PHARMACY COORDINATOR)
(801) 358-3365
Entity
Organization
Contact information
Practice address
705 HIGHWAY 30, BUHL, ID 83316-5054
(208) 543-9944
(208) 543-2338
Mailing address
621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
(208) 423-4248
(208) 423-5767
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2412RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609196351
—
ID
01
—
2125371
PK
—
Enumeration date
06/04/2010
Last updated
07/19/2018
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