NPI 1144404641 · live from the CMS NPI Registry
Ridleys Family Markets INC
Pharmacy, Community/Retail Pharmacy in Laramie, WY. National Provider Identifier 1144404641, active.
NPI record
| NPI | 1144404641 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 3112 E Grand Ave, Laramie, WY 82070 |
| Practice phone | 307-745-7246 |
| Mailing address | 621 Washington St S, Twin Falls, ID 83301 |
| Enumerated | December 20, 2007 |
| Last updated | November 29, 2022 |
| Authorized official | Todd Wise, Pharmacy Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10142 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.