Ridleys Pharmacy #7153

LBN: Ridleys Family Markets Inc
Ridleys Pharmacy #7153 is an health care organization with primary practice located at 1295 Parkway Dr , Blackfoot ID 83221-1683. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ridleys Family Markets Inc can be contacted via phone (208) 785-1311, or through Wise, Todd via phone (801) 358-3365.

Contact Information

Primary practice address
1295 Parkway Dr Blackfoot ID 83221-1683
Phone: (208) 785-1311
Fax: (208) 785-7071
Website:
Map and Directions
Authorized official contact:
Name: Wise, Todd DOC OF PHARM
Phone: (801) 358-3365

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1809RP Idaho

Profile Details

NPI number 1679609077
LBN Legal business name Ridleys Family Markets Inc
DBA Doing business as Ridleys Pharmacy #7153
Authorized official Wise, Todd DOC OF PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 19th, 2018 - about 7 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 1679609077 NPPES
Other 2021879 PK
MEDICAID 806730700 PK
MEDICAID 805772400 PK

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