Organization
RIDLEYS FAMILY MARKETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WISE (PHARMACY COORDINATOR)
(801) 358-3365
Entity
Organization
Contact information
Practice address
300 SE WYOMING BLVD, CASPER, WY 82609-4201
(307) 577-7062
(307) 266-4623
Mailing address
621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
(208) 324-4633
(208) 324-1190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
R10144
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149911
PK
—
Enumeration date
06/21/2006
Last updated
04/26/2018
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