Organization
RIDLEY'S FAMILY MARKETS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ROBERT WISE (DIRECTOR OF PHARMACY)
(801) 358-3365
Entity
Organization
Contact information
Practice address
74 S 100 E, TREMONTON, UT 84337-1606
(801) 358-3365
Mailing address
621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
(435) 557-7014
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/09/2019
Last updated
11/01/2019
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