NPI 1871539643 · live from the CMS NPI Registry
Ridleys Family Markets INC
Pharmacy, Community/Retail Pharmacy in Casper, WY. National Provider Identifier 1871539643, active.
NPI record
| NPI | 1871539643 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 300 Se Wyoming Blvd, Casper, WY 82609 |
| Practice phone | 307-577-7062 |
| Mailing address | 621 Washington St S, Twin Falls, ID 83301 |
| Enumerated | June 21, 2006 |
| Last updated | April 26, 2018 |
| Authorized official | Todd Wise, Pharmacy Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10144 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.