Ridley'S Pharmacy #8464

LBN: Ridley'S Family Markets, Inc
Ridley'S Pharmacy #8464 is an health care organization with primary practice located at 210 Main St. South , Kimberly ID 83341-0443. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ridley'S Family Markets, Inc can be contacted via phone (208) 423-4248, or through Ketterling, Cathi via phone (208) 324-4633.

Contact Information

Primary practice address
210 Main St. South Kimberly ID 83341-0443
Phone: (208) 423-4248
Fax: (208) 423-5767
Website:
Map and Directions
Authorized official contact:
Name: Ketterling, Cathi PHARMD
Phone: (208) 324-4633

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1730 CP Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X 1730CP Idaho

Profile Details

NPI number 1003942913
LBN Legal business name Ridley'S Family Markets, Inc
DBA Doing business as Ridley'S Pharmacy #8464
Authorized official Ketterling, Cathi PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated May 17th, 2016 - about 10 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 1003942913 NPPES
Idaho MEDICAID 806621200

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