Ridleys Family Markets INC
Pharmacy, Community/Retail Pharmacy in Laramie, WY. Organization (NPI-2).
NPI number1144404641
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1144404641
- Entity type
- Organization (NPI-2)
- Legal business name
- Ridleys Family Markets INC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2007
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | R10142 | WY | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
3112 E Grand AveLaramie, WY 82070-5141
Phone 307-745-7246 · Fax 307-742-7392
Mailing address
621 Washington St STwin Falls, ID 83301-5519
Phone 208-324-4633 · Fax 208-324-1190
Authorized official
Todd Wise
Pharmacy Coordinator
8013583365
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