NPI 1114053444

Ridley's Family Markets, INC

Organisation Community/Retail Pharmacy Pocatello, ID

Practice location

Address: 911 N Main St, Pocatello, ID 83204-2831
Phone: (208) 478-8510
Fax: (208) 235-1328
Mailing address: 621 Washington St. South, Twin Falls, ID 83301-5519

Authorised official

Name: Cathi Ketterling
Title: President
Phone: (208) 324-4633

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 1569CP (ID)

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Registry record

NPI: 1114053444
Entity type: Organization
NPI issued: 23 Feb 2007
Record last updated: 17 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.