Ridley'S Pharmacy #8445

LBN: Ridley'S Family Markets, Inc
Ridley'S Pharmacy #8445 is an health care organization with primary practice located at 1427 Main St , Gooding ID 83330-1838. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ridley'S Family Markets, Inc can be contacted via phone (208) 934-4709, or through Ketterling, Cathi via phone (208) 324-4633.

Contact Information

Primary practice address
1427 Main St Gooding ID 83330-1838
Phone: (208) 934-4709
Fax: (208) 934-4905
Website:
Map and Directions
Authorized official contact:
Name: Ketterling, Cathi PHARMD
Phone: (208) 324-4633

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 1117CP Idaho

Profile Details

NPI number 1316072630
LBN Legal business name Ridley'S Family Markets, Inc
DBA Doing business as Ridley'S Pharmacy #8445
Authorized official Ketterling, Cathi PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 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 1316072630 NPPES
Idaho MEDICAID 002633700

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