Organization
RIDLEY'S FAMILY MARKETS, INC
Active
Other names
Ridley's Pharmacy #1154
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHI B. KETTERLING PHARM. D (PRESIDENT)
(208) 324-4633
Entity
Organization
Contact information
Practice address
1689 GREAT BASIN HWY, ELY, NV 89301-3154
(775) 289-2671
(775) 289-6950
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
PH00453
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700116050
—
NV
01
—
PH00453
NV. STATE RETAIL PHARMACY LISC.- # PH00453
NV
Enumeration date
01/09/2010
Last updated
03/07/2023
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