NPI 1891909198 · live from the CMS NPI Registry
Ridleys Family Markets INC
Pharmacy, Community/Retail Pharmacy in Pinedale, WY. National Provider Identifier 1891909198, active.
NPI record
| NPI | 1891909198 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 341 East Pine St, Pinedale, WY 82941 |
| Practice phone | 307-367-4451 |
| Mailing address | 621 Washington St S, Twin Falls, ID 83301 |
| Enumerated | May 9, 2007 |
| Last updated | May 2, 2018 |
| Authorized official | Todd Wise, Pharmacy Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10037 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.