Whalio Doctors

NPI 1144404641

Ridleys Family Markets INC

Organisation Community/Retail Pharmacy Laramie, WY

Practice location

Address
3112 E Grand Ave, Laramie, WY 82070-5141
Phone
(307) 745-7246
Fax
(307) 742-7392
Mailing address
621 Washington St S, Twin Falls, ID 83301-5519

Authorised official

Name
Todd Wise
Title
Pharmacy Coordinator
Phone
(801) 358-3365

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence R10142 (WY)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1144404641
Entity type
Organization
NPI issued
20 Dec 2007
Record last updated
29 Nov 2022

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.