| NPI | 1245676741 |
|---|---|
| Doing Business As | RIDLEY'S PHARMACY #1167 |
| Entity Type | Organization |
| Authorized Contact | CATHI BAILY KETTERLING Pharmacy Coordinator 208-320-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 8526422-1703) |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2013-05-11 |