Ridley'S Pharmacy #8447
LBN: Ridley'S Family Markets, Inc
Ridley'S Pharmacy #8447 is an health care organization with primary practice located at 310 Oneida , Rupert ID 83350-1756. 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) 436-1200, or through Wise, Todd Robert via phone (801) 358-3365.
Contact Information
Primary practice address
310 Oneida
Rupert ID 83350-1756
Phone: (208) 436-1200
Fax: (208) 436-6121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 807CP | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 807CP | Idaho |
Profile Details
| NPI number | 1730215070 |
|---|---|
| LBN Legal business name | Ridley'S Family Markets, Inc |
| DBA Doing business as | Ridley'S Pharmacy #8447 |
| Authorized official | Wise, Todd Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Sep 24th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730215070 | NPPES |
| Idaho | MEDICAID | 002633500 |
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