Ridley'S Pharmacy #7152

LBN: Ridley'S Family Markets, Inc
Ridley'S Pharmacy #7152 is an health care organization with primary practice located at 911 N Main St , Pocatello ID 83204-2831. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ridley'S Family Markets, Inc can be contacted via phone (208) 478-8510, or through Ketterling, Cathi via phone (208) 324-4633.

Contact Information

Primary practice address
911 N Main St Pocatello ID 83204-2831
Phone: (208) 478-8510
Fax: (208) 235-1328
Website:
Map and Directions
Authorized official contact:
Name: Ketterling, Cathi PHARMD
Phone: (208) 324-4633

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1569CP Idaho

Profile Details

NPI number 1114053444
LBN Legal business name Ridley'S Family Markets, Inc
DBA Doing business as Ridley'S Pharmacy #7152
Authorized official Ketterling, Cathi PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated May 17th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114053444 NPPES
Idaho MEDICAID 805916500

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