| NPI | 1114053444 |
|---|---|
| Doing Business As | RIDLEY'S PHARMACY #7152 |
| Entity Type | Organization |
| Authorized Contact | CATHI KETTERLING President 208-324-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1569cp) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-05-17 |