Individual
RICHARD THOMAS WRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4137 COMMERCE CIR, IDAHO FALLS, ID 83401-1205
(208) 360-3143
Mailing address
3657 E 20 N, RIGBY, ID 83442-5475
(208) 360-3143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10501
ID
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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