Whalio Doctors

NPI 1548681877

Ridleys Family Markets INC

Organisation Community/Retail Pharmacy Eagle Mountain, UT

Practice location

Address
4045 E Pony Express Pkwy, Eagle Mountain, UT 84005-5512
Phone
(801) 789-4997
Fax
(801) 789-4993
Mailing address
621 Washington St S, Twin Falls, ID 83301-5519

Authorised official

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

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 87123051703 (UT)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1548681877
Entity type
Organization
NPI issued
6 Jan 2014
Record last updated
19 Jul 2018

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.