| NPI | 1184050148 |
|---|---|
| Doing Business As | RIDLEY'S PHARMACY #7156 |
| Entity Type | Organization |
| Authorized Contact | CATHI KETTERLING Pharmacy Coordinator 208-324-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 22546RP) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |