Ridley'S Pharmacy #1165

LBN: Ridleys Family Markets Inc
Ridley'S Pharmacy #1165 is an health care organization with primary practice located at 4045 E Pony Express Pkwy , Eagle Mountain UT 84005-5512. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ridleys Family Markets Inc can be contacted via phone (801) 789-4997, or through Wise, Todd via phone (801) 358-3365.

Contact Information

Primary practice address
4045 E Pony Express Pkwy Eagle Mountain UT 84005-5512
Phone: (801) 789-4997
Fax: (801) 789-4993
Website:
Map and Directions
Authorized official contact:
Name: Wise, Todd
Phone: (801) 358-3365

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 87123051703 Utah

Profile Details

NPI number 1548681877
LBN Legal business name Ridleys Family Markets Inc
DBA Doing business as Ridley'S Pharmacy #1165
Authorized official Wise, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2014
Last updated Jul 19th, 2018 - about 8 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 1548681877 NPPES
Utah MEDICAID 1548681877
Utah Other 2143719

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