NPI 1730460221 · live from the CMS NPI Registry
Ridley'S Family Markets INC
Pharmacy, Community/Retail Pharmacy in Kemmerer, WY. National Provider Identifier 1730460221, active.
NPI record
| NPI | 1730460221 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 620 Pine Ave, Kemmerer, WY 83101 |
| Practice phone | 307-877-4209 |
| Mailing address | 621 Washington St S, Twin Falls, ID 83301 |
| Enumerated | August 29, 2011 |
| Last updated | September 24, 2020 |
| Authorized official | Todd Wise, Pharmacy Coordinator |
| Other names | Ridley'S Pharmacy#1163 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10071 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.