Organization
RIDLEY'S FAMILY MARKETS, INC
Active
Other names
Ridley's Pharmacy #8447
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ROBERT WISE (DIRECTOR OF PHARMACY)
(801) 358-3365
Entity
Organization
Contact information
Practice address
310 ONEIDA, RUPERT, ID 83350-1756
(208) 436-1200
(208) 436-6121
Mailing address
621 WASHINGTON ST. SOUTH, TWIN FALLS, ID 83301-5519
(208) 324-4633
(208) 324-1190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
807CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
807CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002633500
—
ID
Enumeration date
02/23/2007
Last updated
09/24/2020
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